ARKANSAS COUNSELING AND PSYCHODIAGNOSTICS, INC. (NPI# 1356838569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356838569 |
| Entity Type | Organization |
| Organization Name | ARKANSAS COUNSELING AND PSYCHODIAGNOSTICS, INC. |
| Practice Address |
2607 Caddo St Ste 6 Arkadelphia AR 71923-5307 |
| Practice Telephone | 8702308217 |
| Practice Fax Number | 8702308201 |
| Mailing Telephone | 8702308217 |
| Mailing Fax Number | 8702308201 |
| Enumeration Date | 2018-04-13 |
| Last Update Date | 2018-04-13 |
| Authorized Official Name | CHARLES ADOLPH WEINER (VICE PRESIDENT/COO) |
| Authorized Official Telephone | 8702308217 |
| Authorized Official Credential | PSYCHOLOGIST |
| Is Organization Subpart | Y |
| Parent Organization Name | ARKANSAS COUNSELING & PSYCHODIAGNOSTICS, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 181395526 | 05 | |
| AR | 222173526 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 321 E 13th St, Murfreesboro, AR 719589541 | 8702853669 | 8702853771 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902060684 | Arkansas Counseling and Psychodiagnostics, Inc. | Clinic/Center | 2506 Country Club Rd, Arkadelphia, AR 71923-2930 | 2008-07-11 |
| Street Address |
2607 CADDO ST STE 6 |
| City | ARKADELPHIA |
| State | AR |
| Zip Code | 71923-5307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255474268 | Christy G Campbell | Case Manager/Care Coordinator | 2607 Caddo St Ste 6, Arkadelphia, AR 71923-5307 | 2007-02-15 |
| 1245837350 | Brett Burks | Case Manager/Care Coordinator | 2607 Caddo St Ste 6, Arkadelphia, AR 71923-5307 | 2020-10-02 |
| 1194341123 | Julie A Harrington | Case Manager/Care Coordinator | 2607 Caddo St Ste 6, Arkadelphia, AR 71923-5307 | 2020-06-25 |
| 1518582402 | Shawn Lee Hardin | Case Manager/Care Coordinator | 2607 Caddo St Ste 6, Arkadelphia, AR 71923-5307 | 2020-06-16 |
| 1730704339 | Andrew Allen Arnold | Case Manager/Care Coordinator | 2607 Caddo St Ste 6, Arkadelphia, AR 71923-5307 | 2020-06-10 |
| 1942822465 | Klaire Howard | Case Manager/Care Coordinator | 2607 Caddo St Ste 6, Arkadelphia, AR 71923-5307 | 2020-05-07 |
| 1013546654 | Mandy Jo Davis | Counselor | 2607 Caddo St Ste 6, Arkadelphia, AR 71923-5307 | 2020-04-06 |
| 1508492166 | Jessica K. Putz | Case Manager/Care Coordinator | 2607 Caddo St Ste 6, Arkadelphia, AR 71923-5307 | 2020-03-16 |
| 1477199404 | Claudia Cheyenne Charles | Counselor | 2607 Caddo St Ste 6, Arkadelphia, AR 71923-5307 | 2019-11-25 |
| 1093350969 | Victoria L Viera | Case Manager/Care Coordinator | 2607 Caddo St Ste 6, Arkadelphia, AR 71923-5307 | 2019-11-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467053512 | Lacey Griffin | Pharmacist | 109 Wp Malone Drive, Arkadelphia, AR 71923 | 2020-11-05 |
| 1528478955 | Baptist Health | Clinic/Center | 10 Montgomery Drive, Caddo Valley, AR 71923 | 2014-05-07 |
| 1770923724 | Amber Dawn Jones | Nurse Practitioner | 10 Montgomery Dr, Caddo Valley, AR 71923 | 2013-07-04 |
| 1699050872 | Timothy R Phelan | Pharmacist | 131 N 26 St, Walgreens, Arkadelphia, AR 71923 | 2011-10-19 |
| 1083924229 | Misty Cox | Health Educator | 2410 Pine Street, Arkadelphia, AR 71923 | 2010-10-20 |
| 1942433677 | James W. Hankins, D.d.s., P.a. | Dentist | 2840 Twin Rivers Dr., Arkadelphia, AR 71923 | 2009-08-28 |
| 1003027061 | William Coke Viser | Counselor | 94 Pinnacle Drive, Arkadelphia, AR 71923 | 2007-05-24 |
| 1184843773 | Renski Davis-buckley | Case Manager/Care Coordinator | 524 N. Clark, Arkadelphia, AR 71923 | 2007-04-24 |
| 1407988355 | State of Arkansas | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1 Prator Drive, Arkadelphia, AR 71923 | 2007-03-09 |
| 1003945734 | Danita Stubbs | Case Manager/Care Coordinator | 2607 Caddo Street, Arkadelphia, AR 71923 | 2007-03-06 |
| Find all providers in zip 71923 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447609763 | G and J Counseling LLC | Clinic/Center | 930 N 26th St, Arkadelphia, AR 71923-3628 | 2016-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295341188 | Tasha Harris Counseling, LLC | Clinic/Center | 2213 N Reynolds Rd Ste 8, Bryant, AR 72022-2500 | 2020-09-16 |
| 1932714623 | Life Strategies Counseling, Inc | Clinic/Center | 1111 S Bowman Rd Ste B4, Little Rock, AR 72211-3766 | 2020-09-10 |
| 1689208704 | Life Strategies Counseling, Inc. | Clinic/Center | 1024 W Court St Ste B, Paragould, AR 72450-4130 | 2020-02-27 |
| 1427680305 | Hope Arising Counseling, Pllc | Clinic/Center | 2223 Washington Ave # C, Conway, AR 72032-2765 | 2020-02-07 |
| 1396376505 | Life Strategies Counseling, Inc | Clinic/Center | 4100 Corporate Center Dr Ste 103, Springdale, AR 72762-5764 | 2020-01-28 |
| 1497308498 | Rock City Counseling and Consulting Services | Clinic/Center | 10515 W Markham St Ste D4, Little Rock, AR 72205-2290 | 2019-07-18 |
| 1932762754 | Fulfilled Life Counseling, LLC | Clinic/Center | 1218 Stone St Ste 204, Jonesboro, AR 72401-4568 | 2019-04-17 |
| 1316432966 | Mid State Counseling and Recovery Service | Clinic/Center | 1920 Main St Ste 229, North Little Rock, AR 72114 | 2018-06-26 |
| 1720501307 | A2z Therapy of Little Rock | Clinic/Center | 10702 Warren Dr, Little Rock, AR 72209 | 2017-07-25 |
| 1700228558 | Jefferson Comprehensive Counseling Associates | Clinic/Center | 2304 W 29th Ave Ste 1&2, Pine Bluff, AR 71603-5005 | 2013-07-22 |
| Find all providers with the same taxonomy | ||||
| City | ARKADELPHIA |
| Zip Code | 71923 |
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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.