ANDREW DONOVAN (NPI# 1972043792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972043792 |
| Entity Type | Individual |
| Full Name | ANDREW DONOVAN |
| Credential | LAC |
| Practice Address |
1502 Mary Kay Blvd Benton AR 72015 |
| Mailing Address |
Po Box 1589 Benton AR 72018-1589 |
| Practice Telephone | 5013153344 |
| Mailing Telephone | 5013153344 |
| Enumeration Date | 2017-02-27 |
| Last Update Date | 2018-11-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | A1810152 | AR | Behavioral Health & Social Service Providers |
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3715 N Business Dr Ste 104, Fayetteville, AR 727035287 | 4795759471 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407353139 | Andrew Donovan | Neurological Surgery | 12631 E 17th Ave, Aurora, CO 80045-2527 | 2018-04-09 |
| 1922460930 | Andrew Donovan | Emergency Medicine | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2016-03-28 |
| 1568458586 | Andrew M Donovan | Pediatrics | 13328 Shelbyville Rd, Louisville, KY 40223-3936 | 2005-09-26 |
| Street Address |
1502 MARY KAY BLVD |
| City | BENTON |
| State | AR |
| Zip Code | 72015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326013806 | Nancy Grant-horn | Counselor | 1502 Mary Kay Blvd, Benton, AR 72015 | 2006-02-20 |
| 1407454614 | Morgan Richardson | Case Manager/Care Coordinator | 1502 Mary Kay Blvd, Benton, AR 72015-7201 | 2020-10-12 |
| 1043818255 | Brenda Sparks | Case Manager/Care Coordinator | 1502 Mary Kay Blvd, Benton, AR 72015-7201 | 2020-10-12 |
| 1497353601 | Rebecca Worley | Case Manager/Care Coordinator | 1502 Mary Kay Blvd, Benton, AR 72015-7201 | 2020-10-12 |
| 1649878752 | Janey Williams | Case Manager/Care Coordinator | 1502 Mary Kay Blvd, Benton, AR 72015-7201 | 2020-10-12 |
| 1578161683 | Xavieria Mitchell | Case Manager/Care Coordinator | 1502 Mary Kay Blvd, Benton, AR 72015-7201 | 2020-10-12 |
| 1336753664 | Sarah Johnson | Case Manager/Care Coordinator | 1502 Mary Kay Blvd, Benton, AR 72015-7201 | 2020-09-03 |
| 1730799685 | Samatha Walker | Case Manager/Care Coordinator | 1502 Mary Kay Blvd, Benton, AR 72015 | 2020-08-05 |
| 1427673961 | Falynn M Smith | Case Manager/Care Coordinator | 1502 Mary Kay Blvd, Benton, AR 72015-7201 | 2020-06-10 |
| 1265054043 | Cameron Terrell | Case Manager/Care Coordinator | 1502 Mary Kay Blvd, Benton, AR 72015-7201 | 2020-05-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790343135 | Justin King | Case Manager/Care Coordinator | 1502 Mary Kay Blv6, Benton, AR 72015 | 2019-05-31 |
| 1790253326 | Seth Alexander Weisheit | Nurse Practitioner | 824 Military Road, Benton, AR 72015 | 2018-11-13 |
| 1396269627 | Abby G Sims | Speech-Language Pathologist | 3391 Peachtree Lane, Benton, AR 72015 | 2017-07-28 |
| 1225551278 | Jessica R Poe | Case Manager/Care Coordinator | 1502 Marykay Blvd, Benton, AR 72015 | 2017-07-21 |
| 1003357997 | Jamaal Langston | Case Manager/Care Coordinator | 1502 Mark Kay Blvd, Benton, AR 72015 | 2017-03-13 |
| 1881138550 | Shannon Gachot-ridgley | Counselor | 205 South Street Suite 3, Benton, AR 72015 | 2016-12-14 |
| 1295104578 | Excel Health of Haskell, Pllc | Clinical Nurse Specialist | 6029 Us Hwy 67, Haskell, AR 72015 | 2015-09-17 |
| 1528464054 | Kacey Jo Kiker | Nurse Practitioner | 620 W South St, Benton, AR 72015 | 2014-11-11 |
| 1700218252 | Jamie Brunt | Licensed Practical Nurse | 1718 Old Hot Springs Rd, Benton, AR 72015 | 2013-08-07 |
| 1760738942 | Kari J Richards | Physical Therapist | 5701 Springhill Rd, Bryant, AR 72015 | 2012-07-25 |
| Find all providers in zip 72015 | ||||
| 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 |
|---|---|---|---|---|
| 1104439355 | Jason Amyx | Counselor | 78 Caky Dr, Benton, KY 42025-7592 | 2020-08-27 |
| 1134754021 | Jessica L Linnear | Counselor | 110 Shaffers Dr, Benton, LA 71006-8928 | 2020-03-11 |
| 1043592082 | Wendy Logsdon | Counselor | 630 W South St, Benton, AR 72015-4258 | 2011-09-15 |
| 1144252412 | Angie L Turner | Counselor | 6701 Highway 67 Bldg 4, Benton, AR 72015-8909 | 2006-07-07 |
| 1679548184 | Jerilane Lovett Harrell | Counselor | 195 Hickory Creek Ln, Benton, KY 42025-5499 | 2006-02-19 |
| 1710513916 | Beth Forst | Counselor | 1502 Mary Kay Blvd, Benton, AR 72015-7201 | 2020-03-19 |
| 1548812472 | Robert Mcgehee | Counselor | 1502 Mary Kay Blvd, Benton, AR 72015-7201 | 2019-07-11 |
| 1730617564 | Natasha F Harris | Counselor | 1502 Mary Kay Blvd, Benton, AR 72015-7201 | 2017-05-24 |
| 1427445246 | Kriston Ballard | Counselor | 3214 Winchester, Benton, AR 72015-2929 | 2015-04-20 |
| 1811387020 | Pamela Smith | Counselor | 3214 Winchester, Benton, AR 72015-2929 | 2015-01-26 |
| Find all providers in BENTON | ||||
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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.