MRS. JERESA LENELL CHISHOLM (NPI# 1649819434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649819434 |
| Entity Type | Individual |
| Full Name | MRS. JERESA LENELL CHISHOLM |
| Practice Address |
1719 Merrill Dr Little Rock AR 72212-4009 |
| Mailing Address |
2809 Forest Home Rd Jonesboro AR 72401-5320 |
| Practice Telephone | 5016632199 |
| Enumeration Date | 2019-12-27 |
| Last Update Date | 2019-12-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
AR | Behavioral Health & Social Service Providers |
| Street Address |
1719 MERRILL DR |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72212-4009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437121373 | Ashley Ellen Green | Nurse Practitioner | 1719 Merrill Dr, Little Rock, AR 72212-4009 | 2006-02-04 |
| 1659906873 | Tori Francis | Counselor | 1719 Merrill Dr, Little Rock, AR 72212-4009 | 2020-03-09 |
| 1811536725 | Alexandria Norwood | Case Manager/Care Coordinator | 1719 Merrill Dr, Little Rock, AR 72212-4009 | 2019-12-26 |
| 1114561867 | Camesha Cromwell | Case Manager/Care Coordinator | 1719 Merrill Dr, Little Rock, AR 72212-4009 | 2019-11-05 |
| 1659915577 | Leah Richter | Social Worker | 1719 Merrill Dr, Little Rock, AR 72212-4009 | 2019-11-04 |
| 1184268005 | Kimwonyanna Russell | Case Manager/Care Coordinator | 1719 Merrill Dr, Little Rock, AR 72212-4009 | 2019-11-04 |
| 1306489810 | Verita Michelle Rainey | Case Manager/Care Coordinator | 1719 Merrill Dr, Little Rock, AR 72212-4009 | 2019-10-28 |
| 1336781426 | Mechelle Antionette Jones | Case Manager/Care Coordinator | 1719 Merrill Dr, Little Rock, AR 72212-4009 | 2019-10-10 |
| 1659913911 | Aurielle Freeman | Social Worker | 1719 Merrill Dr, Little Rock, AR 72212-4009 | 2019-10-08 |
| 1770134439 | Nina Dunn | Counselor | 1719 Merrill Dr, Little Rock, AR 72212-4009 | 2019-09-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475805 | Arkansas Health Group | Dietitian, Registered | 10915 Rodney Parham Road, Suite G, Little Rock, AR 72212 | 2020-10-20 |
| 1043788045 | Arkansas Wellness Associates LLC | Internal Medicine | 10700 N Rodney Parham Road, Suite C11, Little Rock, AR 72212 | 2018-11-07 |
| 1538663729 | Premier Gastroenterology Associates Pllc | Internal Medicine | 10915 N. Rodney Parham, Suite B, Little Rock, AR 72212 | 2018-03-21 |
| 1942749148 | Reece Lewis Crow | General Practice | 34 Windsor Road, Little Rock, AR 72212 | 2017-02-21 |
| 1174910210 | Jourdan Quinn | Nurse Practitioner | 11300 Cantrell Rd Ste 204, Little Rock, AR 72212 | 2015-04-15 |
| 1174942528 | Jacey Tanner Guthrie | Dermatology | 4200 N Rodney Parham Rd Ste 202, Little Rock, AR 72212 | 2014-04-14 |
| 1366867525 | Rustee Danielle Pruitt | Counselor | 1719 Merrill Drive, Little Rock, AR 72212 | 2014-02-25 |
| 1932520558 | Diana Johnson Pearson | Speech-Language Pathologist | 3920 Woodland Heights Rd., Little Rock, AR 72212 | 2013-12-27 |
| 1275968786 | Bill F Hefley Sr. | Allergy & Immunology | 361 Valley Club Circle, Little Rock, AR 72212 | 2013-09-04 |
| 1376987693 | Robert Carlton Power | Internal Medicine | 8 Bella View Drive, Little Rock, AR 72212 | 2013-04-18 |
| Find all providers in zip 72212 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003425703 | Apollo Health, LLC | Counselor | 11715 Rainwood Rd Ste B6, Little Rock, AR 72212-3968 | 2020-07-28 |
| 1376168120 | Shea Wood | Counselor | 8 Shackleford Plz Ste 206, Little Rock, AR 72211-1853 | 2020-06-08 |
| 1740803683 | Ryan Russ LLC | Counselor | 1900 N Bryant St Ste 310, Little Rock, AR 72207-5022 | 2020-05-27 |
| 1003443953 | David Laser Jr. | Counselor | 3700 W 65th St, Little Rock, AR 72209-8552 | 2020-03-23 |
| 1992331508 | Seth Thomas Gilleran | Counselor | 14710 Cantrell Rd Ste 7a, Little Rock, AR 72223-4253 | 2020-03-14 |
| 1568004240 | Cheyenne Parker | Counselor | 20400 Col Glenn Road Youth Home, Inc., Little Rock, AR 72210-5323 | 2019-10-14 |
| 1104473198 | Carrie Teresa Calhoon | Counselor | 1100 N University Ave Ste 137, Little Rock, AR 72207-6344 | 2019-08-23 |
| 1730668864 | Raysha Clark | Counselor | 10515 W Markham St Ste K4, Little Rock, AR 72205-2287 | 2018-08-09 |
| 1003306804 | Chris Beasley | Counselor | 9819 Margie Cir, Little Rock, AR 72209-6521 | 2018-05-16 |
| 1841787090 | Martin Counseling Services, LLC | Counselor | 1100 N University Ave Ste 210, Little Rock, AR 72207-6359 | 2018-04-13 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72212 |
Please comment or provide details below to improve the information on MRS. JERESA LENELL CHISHOLM.
| 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.