NORTHEAST ARKANSAS COMMUNITY MENTAL HEALTH CENTER INC (NPI# 1134685225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134685225 |
Entity Type | Organization |
Organization Name | NORTHEAST ARKANSAS COMMUNITY MENTAL HEALTH CENTER INC |
Other Organization Name | MIDSOUTH HEALTH SYSTEMS |
Practice Address |
807 W Main St Ste A&b Trumann AR 72472-2611 |
Mailing Address |
2707 Browns Ln Jonesboro AR 72401-7213 |
Practice Telephone | 8709724939 |
Practice Fax Number | 8709724911 |
Mailing Telephone | 8709724900 |
Mailing Fax Number | 8709724968 |
Enumeration Date | 2019-02-14 |
Last Update Date | 2020-02-21 |
Authorized Official Name | CARLA JONES (OFFICE MANAGER) |
Authorized Official Telephone | 8709724000 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | Agencies |
Other Name | Type Code |
---|---|
Midsouth Health Systems | Doing Business As Name - Organization |
Address | Telephone Number | Fax Number |
---|---|---|
807 W Main St, Trumann, AR 724722611 | 8709724939 | 8709724911 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891263091 | Northeast Arkansas Community Mental Health Center Inc | Community/Behavioral Health | 623 N 9th St Ste 200, Augusta, AR 72006-2103 | 2018-11-06 |
1023598828 | Northeast Arkansas Community Mental Health Center Inc | Community/Behavioral Health | 16520 White Dr., Batesville, AR 72501 | 2018-08-21 |
1396396859 | Northeast Arkansas Community Mental Health Center Inc | Community/Behavioral Health | 837 Willett Road, Jonesboro, AR 72401 | 2019-09-26 |
1265908263 | Northeast Arkansas Community Mental Health Center Inc | Community/Behavioral Health | 4451 N Washington St, Forrest City, AR 72335-7711 | 2018-10-17 |
1790265593 | Northeast Arkansas Community Mental Health Center Inc | Community/Behavioral Health | 637 East Main St, Melbourne, AR 72556 | 2018-08-21 |
1477033322 | Northeast Arkansas Community Mental Health Center Inc | Community/Behavioral Health | 33 Choctaw Trce, Cherokee Village, AR 72529-2702 | 2018-08-20 |
1750861688 | Northeast Arkansas Community Mental Health Center Inc | Community/Behavioral Health | 107 Laurel St, Newport, AR 72112-3327 | 2018-08-20 |
1972083806 | Northeast Arkansas Community Mental Health Center Inc | Substance Abuse Rehabilitation Facility | 3204 E Moore Ave, Searcy, AR 72143-4826 | 2018-08-20 |
1649750597 | Northeast Arkansas Community Mental Health Center Inc | Community/Behavioral Health | 642 N Main St, Salem, AR 72576-9450 | 2018-08-20 |
1336118207 | Northeast Arkansas Community Mental Health Center Inc | Counselor | 2707 Browns Ln, Jonesboro, AR 72401-7213 | 2006-03-14 |
Street Address |
807 W MAIN ST STE A&B |
City | TRUMANN |
State | AR |
Zip Code | 72472-2611 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063039980 | First Step Arkansas, LLC | Occupational Therapist | 528 Industrial Park Access Rd, Trumann, AR 72472 | 2020-06-26 |
1982254710 | Brent A Davis | Physical Therapist | 516 Industrial Park Access Rd, Trumann, AR 72472 | 2019-09-13 |
1760992911 | Lorraine Irene Devries | Technician | 1316 Industrial Acess Drive, Trumann, AR 72472 | 2017-10-02 |
1902326226 | Logan Michael Schmidt | Dentist | 1711 Hwy 69 Blvd, Trumann, AR 72472 | 2017-06-27 |
1619228830 | Daniel Edward Ward | Case Manager/Care Coordinator | 1704 Hwy, 69, Trumann, AR 72472 | 2012-09-27 |
1003197542 | Mashae D. Rolland | Nurse Practitioner | 808 Highway 463 N, Trumann, AR 72472 | 2011-08-29 |
1982984118 | Denise Jackson | Case Manager/Care Coordinator | 1704 Highway 69, Trumann, AR 72472 | 2011-08-19 |
1134410467 | Dalisha Lareece Smith | Clinical Ethicist | 1704 Hwy. 69, Trumann, AR 72472 | 2011-04-20 |
1164727202 | Margaret Ann Peters | Case Manager/Care Coordinator | 809 West Main Suite C, Trumann, AR 72472 | 2011-01-21 |
1134379357 | Jeremiah Daniel Dillehay | Counselor | 170 4 Hwy. 69, Trumann, AR 72472 | 2008-09-24 |
Find all providers in zip 72472 |
Taxonomy Code | 251S00000X |
Grouping | Agencies |
Classification | Community/Behavioral Health |
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821300708 | Alternative Opportunities | Community/Behavioral Health | 339 Hwy 463 North, Trumann, AR 72472-3116 | 2010-07-08 |
1942423124 | Dayspring Services of Arkansas LLC | Community/Behavioral Health | 417 W Main St, Suite B, Trumann, AR 72472-3116 | 2007-04-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851903884 | Conway County Community Service Inc. | Community/Behavioral Health | 616 E. Emma Avenue, Suite 244, Springdale, AR 72764 | 2020-08-20 |
1003437740 | Centers for Youth and Families, Inc. | Community/Behavioral Health | 1521 Merrill Drive, Suite D220 and E200, Little Rock, AR 72211 | 2020-05-05 |
1275175275 | Willow Springs Counseling | Community/Behavioral Health | 204 N Front St Ste A, Dardanelle, AR 72834-3843 | 2019-10-10 |
1023663630 | Arkansas Support Network, Inc | Community/Behavioral Health | 6836 Issacs Orchard Rd, Springdale, AR 72762-6096 | 2019-08-09 |
1972163434 | Baby Byrd, Pllc | Community/Behavioral Health | 10515 W Markham St Ste I2, Little Rock, AR 72205-2283 | 2019-06-17 |
1346808474 | Amy Burns, Lpc, Inc | Community/Behavioral Health | 101 W Main St Ste 200, El Dorado, AR 71730-5654 | 2019-06-04 |
1255994158 | Conway County Community Service Inc. | Community/Behavioral Health | 200 S Peabody Ave, Mountain View, AR 72560-6311 | 2019-04-16 |
1891263091 | Northeast Arkansas Community Mental Health Center Inc | Community/Behavioral Health | 623 N 9th St Ste 200, Augusta, AR 72006-2103 | 2018-11-06 |
1821564436 | Bokker Enterprises, Inc. | Community/Behavioral Health | 115 Turner Lane, Ste #2, Salem, AR 72576 | 2018-10-22 |
1528549417 | Bright Horizons Counseling | Community/Behavioral Health | 807 S 24th St, Arkadelphia, AR 71923-5627 | 2018-08-28 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.