| Chenal Family Therapy, Plc | |
|
10311 W Markham St Little Rock AR 72205-2135 | |
| (501) 781-2230 | |
| (888) 816-7916 |
| Full Name | Chenal Family Therapy, Plc |
|---|---|
| Speciality | Counselor |
| Location | 10311 W Markham St, Little Rock, Arkansas |
| Authorized Official Name and Position | Kenneth Andrew Clark (CLINICAL DIRECTOR) |
| Authorized Official Contact | 5017812230 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chenal Family Therapy, Plc 10311 W Markham St Little Rock AR 72205-2135 Ph: (501) 781-2230 | Chenal Family Therapy, Plc 10311 W Markham St Little Rock AR 72205-2135 Ph: (501) 781-2230 |
| NPI Number | 1356604219 |
|---|---|
| Provider Enumeration Date | 06/16/2012 |
| Last Update Date | 07/07/2023 |
| Certification Date | 07/07/2023 |
| Medicare PECOS PAC ID | 8325395627 |
|---|---|
| Medicare Enrollment ID | O20180718000717 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356604219 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
| Provider Name | Shamim Malik |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518909605 PECOS PAC ID: 8820901366 Enrollment ID: I20031110000769 |
| Provider Name | Richard C Flanigin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063515948 PECOS PAC ID: 9436059011 Enrollment ID: I20040110000122 |
| Provider Name | Laurie Geurin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326295700 PECOS PAC ID: 3870480296 Enrollment ID: I20040301001244 |
| Provider Name | Lynda La Rue |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710093554 PECOS PAC ID: 4587689526 Enrollment ID: I20051010000511 |
| Provider Name | Mark S Andersen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912097585 PECOS PAC ID: 8921106246 Enrollment ID: I20070611000596 |
| Provider Name | Benjamin L Tidwell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861407520 PECOS PAC ID: 1355441940 Enrollment ID: I20070711000858 |
| Provider Name | Kelly J Pizzitola |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1043410608 PECOS PAC ID: 4789777699 Enrollment ID: I20070910000237 |
| Provider Name | Gale Henrard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598941296 PECOS PAC ID: 1658431630 Enrollment ID: I20081120000441 |
| Provider Name | Catherine L Coon |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093722415 PECOS PAC ID: 8921165424 Enrollment ID: I20090327000506 |
| Provider Name | Catherine Stallard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619947447 PECOS PAC ID: 4385778133 Enrollment ID: I20100816000191 |
| Provider Name | Becky L Porter |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255339461 PECOS PAC ID: 1456537216 Enrollment ID: I20110512000767 |
| Provider Name | Amanda J Ryals |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831348291 PECOS PAC ID: 9335393693 Enrollment ID: I20130214000206 |
| Provider Name | Kristin D Beightol |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821370339 PECOS PAC ID: 6406094259 Enrollment ID: I20130606000228 |
| Provider Name | Monique A Myers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417139049 PECOS PAC ID: 0143458067 Enrollment ID: I20140122000656 |
| Provider Name | Lakia L Aytch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023301611 PECOS PAC ID: 8921239963 Enrollment ID: I20140315000233 |
| Provider Name | Tammy Rhyne |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508041492 PECOS PAC ID: 9234452178 Enrollment ID: I20141229000265 |
| Provider Name | Kelsey Leigh Mann Mcclellan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457679011 PECOS PAC ID: 4789902529 Enrollment ID: I20150408000269 |
| Provider Name | Whitney Reed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710361464 PECOS PAC ID: 9830408541 Enrollment ID: I20151020002609 |
| Provider Name | Tracy A Haselow |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124285630 PECOS PAC ID: 7618278557 Enrollment ID: I20151217000867 |
| Provider Name | Chelsie M Harper |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598178832 PECOS PAC ID: 7618251356 Enrollment ID: I20170224001983 |
| Provider Name | Connie A Dyer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083937858 PECOS PAC ID: 5597049981 Enrollment ID: I20170302002239 |
| Provider Name | Rhianna Harberson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417405986 PECOS PAC ID: 7517241664 Enrollment ID: I20170309000310 |
| Provider Name | Jacob M Boydstun |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568805299 PECOS PAC ID: 1355668310 Enrollment ID: I20170501000863 |
| Provider Name | Margaret E Wiggins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720491053 PECOS PAC ID: 1052688322 Enrollment ID: I20170517002226 |
| Provider Name | Angela M Pereira |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730599275 PECOS PAC ID: 2365350212 Enrollment ID: I20170530002014 |
| Provider Name | Marty P. Witucki |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477587772 PECOS PAC ID: 5799718243 Enrollment ID: I20180109003432 |
| Provider Name | Alison N Tait |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366479669 PECOS PAC ID: 1153354600 Enrollment ID: I20180718001385 |
| Provider Name | Devin Annette Chatman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396224002 PECOS PAC ID: 7214287077 Enrollment ID: I20180829002030 |
| Provider Name | Ariella Frazier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871073577 PECOS PAC ID: 6608116215 Enrollment ID: I20190319000419 |
| Provider Name | Whitney Hartgraves |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376051508 PECOS PAC ID: 7113267691 Enrollment ID: I20190320000514 |
| Provider Name | Margaret A Standridge |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982055828 PECOS PAC ID: 3476893918 Enrollment ID: I20190320002572 |
| Provider Name | David Joseph Lewis Rivera |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699193110 PECOS PAC ID: 8426385345 Enrollment ID: I20190814002958 |
| Provider Name | Priscilla Alexander |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821518242 PECOS PAC ID: 8123456928 Enrollment ID: I20200310000117 |
| Provider Name | Miriam Koesy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891346664 PECOS PAC ID: 4385075381 Enrollment ID: I20200506003190 |
| Provider Name | Shambrhee Burton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942543582 PECOS PAC ID: 2860820370 Enrollment ID: I20200512003168 |
| Provider Name | Ashton Brooke Nealy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841829405 PECOS PAC ID: 6204257496 Enrollment ID: I20200526000772 |
| Provider Name | Brandi Lyn Pinn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750789178 PECOS PAC ID: 3577973445 Enrollment ID: I20201104000636 |
| Provider Name | Cassidy Graham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073146510 PECOS PAC ID: 3476965831 Enrollment ID: I20201209002244 |
| Provider Name | Emily Marie Bass |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194254631 PECOS PAC ID: 6709291818 Enrollment ID: I20210224000247 |
| Provider Name | Nancy Lynn Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811533300 PECOS PAC ID: 4486057155 Enrollment ID: I20210720000522 |
| Provider Name | Angela Cartwright |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689957136 PECOS PAC ID: 8426443706 Enrollment ID: I20220323002484 |
| Provider Name | Jeffrey Dean Lawson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306402169 PECOS PAC ID: 8921493073 Enrollment ID: I20220328001173 |
| Provider Name | Haley Lauren Mills |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922758259 PECOS PAC ID: 5496141053 Enrollment ID: I20220407000370 |
| Provider Name | Holly Colclasure |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528601135 PECOS PAC ID: 4385027705 Enrollment ID: I20220818000545 |
| Provider Name | Tonie Brenee' Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689200040 PECOS PAC ID: 3173906153 Enrollment ID: I20220824002242 |
| Provider Name | Jessica Louise Gutting |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679239248 PECOS PAC ID: 7618351651 Enrollment ID: I20220825001006 |
| Provider Name | Alexandra Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558771634 PECOS PAC ID: 5496130593 Enrollment ID: I20220909001179 |
| Provider Name | Andrew R Worley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932561958 PECOS PAC ID: 8921391798 Enrollment ID: I20221122001855 |
| Provider Name | Jami Lynn Spurling |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164882494 PECOS PAC ID: 7416301825 Enrollment ID: I20231003002309 |
| Provider Name | Annie Michelle Thompson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912203399 PECOS PAC ID: 4082068408 Enrollment ID: I20231003002683 |
| Provider Name | Tiffany Annette Cloud |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831688381 PECOS PAC ID: 0042665044 Enrollment ID: I20231011002486 |
| Provider Name | Jennifer Cory Spradley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639586894 PECOS PAC ID: 1759738016 Enrollment ID: I20231108000212 |
| Provider Name | Lauren Gwen Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902671381 PECOS PAC ID: 9638529282 Enrollment ID: I20231222002514 |
| Provider Name | Darin Tod Billings |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831408947 PECOS PAC ID: 3971955659 Enrollment ID: I20240118000861 |
| Provider Name | Scarlett Evert |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700023876 PECOS PAC ID: 3375995905 Enrollment ID: I20240119001408 |
| Provider Name | Alexandria Rose Kerr |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124691506 PECOS PAC ID: 5799137246 Enrollment ID: I20240119002264 |
| Provider Name | Jennifer Renae Downey-rutledge |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487965521 PECOS PAC ID: 3870937717 Enrollment ID: I20240219001788 |
| Provider Name | Cathrine Jones |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912334236 PECOS PAC ID: 6800230756 Enrollment ID: I20240219002046 |
| Provider Name | Karla N Barr |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922679497 PECOS PAC ID: 6002250966 Enrollment ID: I20240219002385 |
| Provider Name | Kelda Elizabeth Inness |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194118125 PECOS PAC ID: 3173862026 Enrollment ID: I20240220000060 |
| Provider Name | Amy Shaw |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265068019 PECOS PAC ID: 1658715552 Enrollment ID: I20240220000145 |
| Provider Name | Kendyl Dawn Tinsley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033458716 PECOS PAC ID: 6901240530 Enrollment ID: I20240221004469 |
| Provider Name | Justin Matthew Dillon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487930038 PECOS PAC ID: 4082059159 Enrollment ID: I20240228002281 |
| Provider Name | Cori Danielle Alexander |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437698461 PECOS PAC ID: 9234574286 Enrollment ID: I20240229000652 |
| Provider Name | Brooklyn Gartrell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649533670 PECOS PAC ID: 1658717921 Enrollment ID: I20240308001177 |
| Provider Name | Wade Fuqua |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649532656 PECOS PAC ID: 7012353287 Enrollment ID: I20240311000695 |
| Provider Name | Camille Donna Vanness |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114030277 PECOS PAC ID: 6507203049 Enrollment ID: I20240320001649 |
| Provider Name | Vahideh Zamani |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427305663 PECOS PAC ID: 9638516099 Enrollment ID: I20240320003076 |
| Provider Name | Deanna Latoya Hardiman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1548607161 PECOS PAC ID: 8123465598 Enrollment ID: I20240320003331 |
| Provider Name | Jennifer Heard |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689090912 PECOS PAC ID: 4385081751 Enrollment ID: I20240320003479 |
| Provider Name | Judith Jeanne Mathewson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467973990 PECOS PAC ID: 8729425145 Enrollment ID: I20240321000966 |
| Provider Name | Sara Catherine Small |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336495936 PECOS PAC ID: 9537506639 Enrollment ID: I20240325004040 |
| Provider Name | Lena Hancock |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922380187 PECOS PAC ID: 4880033703 Enrollment ID: I20240411002661 |
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 |