| Baptist Health Behavioral Services Clinic | |
|
11321 Interstate 30 Ste 304 Little Rock AR 72209-7067 | |
| (501) 202-7587 | |
| (501) 202-7513 |
| Full Name | Baptist Health Behavioral Services Clinic |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 11321 Interstate 30 Ste 304, Little Rock, Arkansas |
| Authorized Official Name and Position | Will Rusher (CEO) |
| Authorized Official Contact | 5018127509 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Baptist Health Behavioral Services Clinic 11001 Executive Center Dr Ste 200 Little Rock AR 72211-4393 Ph: (501) 202-7587 | Baptist Health Behavioral Services Clinic 11321 Interstate 30 Ste 304 Little Rock AR 72209-7067 Ph: (501) 202-7587 |
| NPI Number | 1871959874 |
|---|---|
| Provider Enumeration Date | 01/06/2016 |
| Last Update Date | 05/24/2023 |
| Certification Date | 05/24/2023 |
| Medicare PECOS PAC ID | 7911802079 |
|---|---|
| Medicare Enrollment ID | O20141029001863 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871959874 | NPI | - | NPPES |
| Provider Name | Melissa Powell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245229491 PECOS PAC ID: 4981611076 Enrollment ID: I20060315000082 |
| Provider Name | Darren L Reeves |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750465779 PECOS PAC ID: 0840292405 Enrollment ID: I20070210000046 |
| Provider Name | Jan Alexander |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265657274 PECOS PAC ID: 8820165806 Enrollment ID: I20080916000667 |
| Provider Name | Purushottam B Thapa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871571240 PECOS PAC ID: 7416013404 Enrollment ID: I20090226000387 |
| Provider Name | Kenneth G Stephens |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942411483 PECOS PAC ID: 1850570177 Enrollment ID: I20130313000021 |
| Provider Name | James C Rule |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194789495 PECOS PAC ID: 1254652233 Enrollment ID: I20150602002248 |
| Provider Name | Samuel J House |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225320518 PECOS PAC ID: 2961727755 Enrollment ID: I20161214001344 |
| Provider Name | Renea E Henderson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417390915 PECOS PAC ID: 4385960004 Enrollment ID: I20170404000401 |
| Provider Name | Holly N Agud |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689092678 PECOS PAC ID: 5092030866 Enrollment ID: I20170602002162 |
| Provider Name | Donna J Berryman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740587369 PECOS PAC ID: 8628337649 Enrollment ID: I20180122001029 |
| Provider Name | William R Henley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225363237 PECOS PAC ID: 5496010415 Enrollment ID: I20180522002475 |
| Provider Name | Charles W Jenson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285951079 PECOS PAC ID: 6103141643 Enrollment ID: I20180928001833 |
| Provider Name | Cheryl D Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417422106 PECOS PAC ID: 4880939362 Enrollment ID: I20190103000743 |
| Provider Name | Christine C Wellman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922575042 PECOS PAC ID: 4880931823 Enrollment ID: I20190129001063 |
| Provider Name | Ashley M Fulks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235603614 PECOS PAC ID: 6204174279 Enrollment ID: I20190218000641 |
| Provider Name | Daniel L Price |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609261338 PECOS PAC ID: 3971819210 Enrollment ID: I20190606002806 |
| Provider Name | Denise L Baughn |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437536059 PECOS PAC ID: 7618200080 Enrollment ID: I20190618001245 |
| Provider Name | David W Mcelroy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720473085 PECOS PAC ID: 2466768858 Enrollment ID: I20190930001684 |
| Provider Name | Anil Krishna Bachu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689017550 PECOS PAC ID: 0840432175 Enrollment ID: I20191107001736 |
| Provider Name | Cara Jane Meckfessel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497385009 PECOS PAC ID: 4385072412 Enrollment ID: I20200324000082 |
| Provider Name | Schantz A Flores |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164054649 PECOS PAC ID: 2466881909 Enrollment ID: I20200403000479 |
| Provider Name | Marialison Bowling |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952765174 PECOS PAC ID: 9830424472 Enrollment ID: I20200428000680 |
| Provider Name | Jane Jee-sun Kang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174637755 PECOS PAC ID: 5193770659 Enrollment ID: I20210112001528 |
| Provider Name | Amanda Michelle Thompson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114503554 PECOS PAC ID: 4789092073 Enrollment ID: I20210427000933 |
| Provider Name | Michael C Dennis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548603764 PECOS PAC ID: 5698090496 Enrollment ID: I20210727001412 |
| Provider Name | Taylor A Pahls |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538691076 PECOS PAC ID: 5395013734 Enrollment ID: I20211108001189 |
| Provider Name | Stephanie Spurgat |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912402900 PECOS PAC ID: 6709134257 Enrollment ID: I20211221001447 |
| Provider Name | Caitlyn L Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184031395 PECOS PAC ID: 7315331915 Enrollment ID: I20220224001954 |
| Provider Name | Cassie Joann Winkelmeyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346994043 PECOS PAC ID: 3173917234 Enrollment ID: I20220307001108 |
| Provider Name | Mollee Brooke Mcclain |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942872775 PECOS PAC ID: 0446620363 Enrollment ID: I20230110000773 |
| Provider Name | Siva Sundeep Koppolu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316493943 PECOS PAC ID: 9830562784 Enrollment ID: I20230224000461 |
| Provider Name | Keeanndase Pace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790408482 PECOS PAC ID: 4385000819 Enrollment ID: I20230525000834 |
| Provider Name | Jedd Jack Audry |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427535202 PECOS PAC ID: 1658629068 Enrollment ID: I20230818002098 |
| Provider Name | John T Cherry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245912898 PECOS PAC ID: 9931561164 Enrollment ID: I20230818002714 |
| Provider Name | Kimberly A Boykin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780457143 PECOS PAC ID: 2062861206 Enrollment ID: I20231213000401 |
| Provider Name | Kristen Tennille Mcgrew |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598730566 PECOS PAC ID: 8123338266 Enrollment ID: I20240219000317 |
| Provider Name | Bradley E Shaw |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104229871 PECOS PAC ID: 2860837366 Enrollment ID: I20240223002245 |
| Provider Name | Charles Richard Chamblee |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285979609 PECOS PAC ID: 0345685723 Enrollment ID: I20240226000105 |
State Of The Heart Counseling Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7123 I-30, Suite 6, Little Rock, AR 72209 Phone: 501-414-0070 | |
Jill Gorman Lpc Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1501 N University Ave Ste 700, Little Rock, AR 72207 Phone: 817-681-0069 | |
Little Rock Counseling, Plc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1225 Breckenridge Dr Ste 107, Little Rock, AR 72205 Phone: 501-303-6838 Fax: 501-232-1427 | |
Apollo Health, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11715 Rainwood Rd Ste B6, Little Rock, AR 72212 Phone: 479-242-1003 Fax: 479-782-5502 | |
Centers For Youth And Families, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1521 Merrill Drive, Suite D220 And E200, Little Rock, AR 72211 Phone: 501-666-8686 | |
Grace Place Therapy Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2020 W 3rd St Ste 612, Little Rock, AR 72205 Phone: 501-551-0268 Fax: 949-862-5322 | |
Mission Psychotherapy Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 217 W 2nd St Ste 110, Little Rock, AR 72201 Phone: 501-672-5341 |