DIERDRE HENLEY (NPI# 1689129140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1689129140 |
Entity Type | Individual |
Full Name | DIERDRE HENLEY |
Practice Address |
7107 W 12th St Ste 201 Little Rock AR 72204-2451 |
Mailing Address |
1410 Robins St Apt 22 Conway AR 72034-6577 |
Practice Telephone | 5016631837 |
Mailing Telephone | 9012386556 |
Enumeration Date | 2016-08-24 |
Last Update Date | 2016-08-24 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
Street Address |
7107 W 12TH ST STE 201 |
City | LITTLE ROCK |
State | AR |
Zip Code | 72204-2451 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285884981 | Vicki M Mcgowan | Counselor | 7107 W 12th St Ste 201, Little Rock, AR 72204-2451 | 2008-09-30 |
1295259380 | Chastity Robinson | Counselor | 7107 W 12th St Ste 201, Little Rock, AR 72204-2451 | 2017-07-31 |
1902333420 | Jarred Mcmillion | Counselor | 7107 W 12th St Ste 201, Little Rock, AR 72204-2451 | 2017-05-15 |
1699215392 | New Beginings Behavioral Health | Community/Behavioral Health | 7107 W 12th St Ste 201, Little Rock, AR 72204-2451 | 2017-02-28 |
1902350317 | Valerie Heather Parady | Case Manager/Care Coordinator | 7107 W 12th St Ste 201, Little Rock, AR 72204-2451 | 2016-08-15 |
1902267446 | Jake Vannada | Case Manager/Care Coordinator | 7107 W 12th St Ste 201, Little Rock, AR 72204-2451 | 2016-03-11 |
1407214463 | Curtis Ricks | Case Manager/Care Coordinator | 7107 W 12th St Ste 201, Little Rock, AR 72204-2451 | 2016-02-05 |
1245698133 | Terry Camper I | Case Manager/Care Coordinator | 7107 W 12th St Ste 201, Little Rock, AR 72204-2451 | 2016-02-05 |
1053779942 | Jamol Jones | Case Manager/Care Coordinator | 7107 W 12th St Ste 201, Little Rock, AR 72204-2451 | 2016-02-05 |
1215323860 | Terrance Cartwright | Case Manager/Care Coordinator | 7107 W 12th St Ste 201, Little Rock, AR 72204-2451 | 2015-04-10 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669952966 | Shane Wilson | Non-emergency Medical Transport (VAN) | 1522 S Tyler St, Little Rock, AR 72204 | 2018-08-16 |
1659858348 | Poplar Grove Operations LLC | Skilled Nursing Facility | 7801 Kanis Road, Little Rock, AR 72204 | 2018-07-25 |
1275056004 | University of Arkansas for Medical Sciences | Orthopaedic Surgery | 108015 Colonel Glenn Rd, Little Rock, AR 72204 | 2017-07-24 |
1265954820 | Marilyn Marie Lynch | Registered Nurse | 7723 Colonel Glenn Road, Little Rock, AR 72204 | 2017-07-14 |
1962852954 | Arkansas Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 1122 S. University Ave, Little Rock, AR 72204 | 2016-06-21 |
1841607751 | Charity Gillespie | Registered Nurse | 5210 Timberland Dr, Little Rock, AR 72204 | 2014-07-14 |
1043625221 | Interventional Surgery Institute of Little Rock, LLC | Clinic/Center | 9 Freeway Drive, Suite A, Little Rock, AR 72204 | 2014-06-25 |
1548696065 | Jamie Washington | Prosthetic/Orthotic Supplier | 4701 Westwood Ave, Little Rock, AR 72204 | 2013-09-16 |
1124468913 | Stephanie Rachelle Jez | Genetic Counselor, MS | 5800 West 10th Street, Freeway Medical Building, Suite 7-500, Little Rock, AR 72204 | 2013-06-26 |
1336492321 | Alton Charles Phillips Sr. | Counselor | 4400shuffield Drive, Little Rock, AR 72204 | 2012-10-16 |
Find all providers in zip 72204 |
Taxonomy Code | 101Y00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811502305 | Gaye L Jones-washington | Counselor | 18411 Fawn Tree Dr, Little Rock, AR 72210-7131 | 2020-09-10 |
1811500606 | Amy Ballard Therapy, Pllc | Counselor | 2003 N Arthur St, Little Rock, AR 72207-3409 | 2020-08-31 |
1386280527 | Tiffany Williams | Counselor | 9914 I-30 Frontage, Little Rock, AR 72209 | 2019-11-22 |
1093362006 | Dequita Crockett | Counselor | 300 S Rodney Parham Rd Ste 1-326, Little Rock, AR 72205-4747 | 2019-08-23 |
1043795958 | Jason M Andrews | Counselor | 11523 Kanis Rd Ste B, Little Rock, AR 72211-3788 | 2018-09-26 |
1013400738 | Lee Brown | Counselor | 1100 N University Ave Ste 260b, Little Rock, AR 72207-6367 | 2018-06-07 |
1316453426 | Dey'monet Carter | Counselor | 227 Beckwood Dr, Little Rock, AR 72205-2615 | 2017-12-27 |
1194241463 | Wendy Newsam Pllc | Counselor | 1 Innwood Circle, Suite 107, Little Rock, AR 72211 | 2017-08-18 |
1619345246 | Erica Vinson | Counselor | 8 Shackleford Plz Ste 205, Little Rock, AR 72211-1853 | 2015-09-14 |
1508249087 | Shereeka Vickeres | Counselor | 9914 I 30, Little Rock, AR 72209-4201 | 2015-07-02 |
Find all providers in LITTLE ROCK |
City | LITTLE ROCK |
Zip Code | 72204 |
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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.