| Counseling Clinic, Inc | |
|
110 Pearson Benton AR 72015-4436 | |
| (501) 315-4224 | |
| (501) 778-0450 |
| Full Name | Counseling Clinic, Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 110 Pearson, Benton, Arkansas |
| Authorized Official Name and Position | Robert Bennett (CEO) |
| Authorized Official Contact | 5013154224 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Counseling Clinic, Inc 110 Pearson Benton AR 72015-4436 Ph: (501) 315-4224 | Counseling Clinic, Inc 110 Pearson Benton AR 72015-4436 Ph: (501) 315-4224 |
| NPI Number | 1649267659 |
|---|---|
| Provider Enumeration Date | 10/04/2005 |
| Last Update Date | 08/30/2023 |
| Certification Date | 08/30/2023 |
| Medicare PECOS PAC ID | 6204885304 |
|---|---|
| Medicare Enrollment ID | O20050114000834 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649267659 | NPI | - | NPPES |
| 116381726 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Atif Akhtar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376518589 PECOS PAC ID: 8729987490 Enrollment ID: I20040102000308 |
| Provider Name | Andrea J Eberle |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588748990 PECOS PAC ID: 8820991342 Enrollment ID: I20040130000698 |
| Provider Name | Kenneth D Wright |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215978770 PECOS PAC ID: 1254316185 Enrollment ID: I20040623000888 |
| Provider Name | Peter W Guresky |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992715700 PECOS PAC ID: 7517945546 Enrollment ID: I20040707001482 |
| Provider Name | Charles Spurgeon Lane |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427051663 PECOS PAC ID: 8224016753 Enrollment ID: I20040712000461 |
| Provider Name | Sherryl D Vaught |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578690517 PECOS PAC ID: 1052369667 Enrollment ID: I20050111000289 |
| Provider Name | Nichole Bauknight |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730279308 PECOS PAC ID: 2961424338 Enrollment ID: I20051228000785 |
| Provider Name | Chad Strike |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144257916 PECOS PAC ID: 7214931948 Enrollment ID: I20060911000526 |
| Provider Name | Andrea S Stillwell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669483848 PECOS PAC ID: 9436159977 Enrollment ID: I20070105000279 |
| Provider Name | Elizabeth Edmunds |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427249341 PECOS PAC ID: 5395824015 Enrollment ID: I20080507000168 |
| Provider Name | Randall H Wells |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245290816 PECOS PAC ID: 6406926195 Enrollment ID: I20080606000619 |
| Provider Name | Holli D Browning |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548397193 PECOS PAC ID: 3072671239 Enrollment ID: I20081017000192 |
| Provider Name | Craig S Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265641914 PECOS PAC ID: 5193866564 Enrollment ID: I20100107000128 |
| Provider Name | Eric T Crutchfield |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902011000 PECOS PAC ID: 1951590280 Enrollment ID: I20110118000728 |
| Provider Name | Robert Steven Bennett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467778175 PECOS PAC ID: 3577748474 Enrollment ID: I20110419000451 |
| Provider Name | Lisa Yvonne Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174829634 PECOS PAC ID: 2264617539 Enrollment ID: I20110502000187 |
| Provider Name | Shirley Mcmurray |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477752087 PECOS PAC ID: 5193903953 Enrollment ID: I20110627000013 |
| Provider Name | Martha Dalton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952599946 PECOS PAC ID: 5799949798 Enrollment ID: I20120601000429 |
| Provider Name | Trisha A Willis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619298817 PECOS PAC ID: 3072756907 Enrollment ID: I20130826000340 |
| Provider Name | Wendy A Logsdon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043592082 PECOS PAC ID: 4082838149 Enrollment ID: I20140610001969 |
| Provider Name | April Berryman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154603249 PECOS PAC ID: 6800114950 Enrollment ID: I20150421001951 |
| Provider Name | Roger D Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952665002 PECOS PAC ID: 3971804337 Enrollment ID: I20151209002062 |
| Provider Name | Brenda Crownover |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821123274 PECOS PAC ID: 3971886219 Enrollment ID: I20170210000370 |
| Provider Name | Anthony J Valentine |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619270519 PECOS PAC ID: 8729354345 Enrollment ID: I20171026003069 |
| Provider Name | Sheila Caroline Murphy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336516897 PECOS PAC ID: 5698025054 Enrollment ID: I20180905002006 |
| Provider Name | Christiane C Long |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093022832 PECOS PAC ID: 6103177357 Enrollment ID: I20180926003653 |
| Provider Name | Ashley Head |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730661570 PECOS PAC ID: 3173875630 Enrollment ID: I20181010002771 |
| Provider Name | Stephen Peairson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003232141 PECOS PAC ID: 9436495140 Enrollment ID: I20190116001809 |
| Provider Name | Nola Jayne Mcclellan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588790851 PECOS PAC ID: 8123366515 Enrollment ID: I20190211000326 |
| Provider Name | Juliana Kniep |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912247933 PECOS PAC ID: 1759710239 Enrollment ID: I20200403001965 |
| Provider Name | Elizabeth A Freeze |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437496718 PECOS PAC ID: 6204265580 Enrollment ID: I20200408000597 |
| Provider Name | Jim D Gregory |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174730055 PECOS PAC ID: 2860673746 Enrollment ID: I20200603003268 |
| Provider Name | Kellie Fugere |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205285566 PECOS PAC ID: 8820408115 Enrollment ID: I20201027001788 |
| Provider Name | Matthew Howell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265968093 PECOS PAC ID: 2567871775 Enrollment ID: I20210429000406 |
| Provider Name | Erin R Maguire |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770114050 PECOS PAC ID: 4789061094 Enrollment ID: I20220506000249 |
| Provider Name | Amanda Lynn Hood |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770212219 PECOS PAC ID: 6608240981 Enrollment ID: I20230328003058 |
| Provider Name | Natalie Rose Bauer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699356824 PECOS PAC ID: 9133588551 Enrollment ID: I20230703002149 |
| Provider Name | Sara Elizabeth Feingold |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235739194 PECOS PAC ID: 1052763646 Enrollment ID: I20240119000103 |
| Provider Name | Denise Ann Gordon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225284201 PECOS PAC ID: 0749623098 Enrollment ID: I20240204000082 |
| Provider Name | Anthony Wayne Sisson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538134424 PECOS PAC ID: 2961845706 Enrollment ID: I20240208000933 |
| Provider Name | Krishna Trenace Watson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700016896 PECOS PAC ID: 4981146511 Enrollment ID: I20240611000188 |
Experience Counseling Clinic, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1209 Ferguson Dr, Benton, AR 72015 Phone: 870-470-5001 | |
Jm Psychiatry Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2101 Congo Rd Ste F900, Benton, AR 72015 Phone: 501-794-6557 | |
Reach Behavioral Health Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 17724 Interstate 30 N, Benton, AR 72019 Phone: 501-580-3124 | |
Day Treatment Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 410 River St, Benton, AR 72015 Phone: 501-661-0720 | |
Rock Mental Health, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1 Medical Park Dr, Benton, AR 72015 Phone: 501-408-2429 Fax: 501-408-2822 | |
Birch Tree Communities, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 718 Alcoa Rd, Benton, AR 72015 Phone: 501-315-3344 | |
Arkansas Counseling Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 109 W South St, Benton, AR 72015 Phone: 501-776-1191 Fax: 501-776-1194 |