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2200 E Matthews Ave Jonesboro AR 72401-4347 | |
| (870) 972-1268 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Psychologist |
| Location | 2200 E Matthews Ave, Jonesboro, Arkansas |
| Authorized Official Name and Position | Virginia Marie Steelman (SECRETARY) |
| Authorized Official Contact | 7045066267 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
11000 Optum Cir Eden Prairie MN 55344-2503 Ph: (870) 972-1268 | 2200 E Matthews Ave Jonesboro AR 72401-4347 Ph: (870) 972-1268 |
| NPI Number | 1306613880 |
|---|---|
| Provider Enumeration Date | 12/05/2023 |
| Last Update Date | 05/23/2024 |
| Certification Date | 05/23/2024 |
| Medicare PECOS PAC ID | 5092120030 |
|---|---|
| Medicare Enrollment ID | O20240321002678 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306613880 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Primary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| Provider Name | Ashley E Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437121373 PECOS PAC ID: 4789698549 Enrollment ID: I20060131000811 |
| Provider Name | Jamie J Dawson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952578429 PECOS PAC ID: 5395915086 Enrollment ID: I20110907001548 |
| Provider Name | Barbara B Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861911091 PECOS PAC ID: 2466718010 Enrollment ID: I20171114002997 |
| Provider Name | Anthony Alexander Pickering |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689954877 PECOS PAC ID: 4981955937 Enrollment ID: I20181001003285 |
| Provider Name | Jessica Richardson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245489350 PECOS PAC ID: 0941552079 Enrollment ID: I20181017002814 |
| Provider Name | Lisa Rouse |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821247891 PECOS PAC ID: 2163775446 Enrollment ID: I20181102002456 |
| Provider Name | Terry Mae Cooper |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265789465 PECOS PAC ID: 3971849159 Enrollment ID: I20190109000167 |
| Provider Name | Ilo Webster |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962651794 PECOS PAC ID: 7517391162 Enrollment ID: I20200107002333 |
| Provider Name | Whitney Brooke Morgan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912155862 PECOS PAC ID: 4385068485 Enrollment ID: I20200722002086 |
| Provider Name | Judith Melissa Halsell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760968705 PECOS PAC ID: 3577976893 Enrollment ID: I20210106000488 |
| Provider Name | Anthoney Dickson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275821456 PECOS PAC ID: 4587061452 Enrollment ID: I20210920001206 |
| Provider Name | Bethany Batchelor |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003490384 PECOS PAC ID: 4789033721 Enrollment ID: I20231215000892 |
| Provider Name | Brooke Bell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912577099 PECOS PAC ID: 7113377011 Enrollment ID: I20231219000194 |
| Provider Name | Lindsey Mitchell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952615171 PECOS PAC ID: 2163872193 Enrollment ID: I20240103000824 |
| Provider Name | Cheryl Kuhn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013416601 PECOS PAC ID: 0547611949 Enrollment ID: I20240110002806 |
| Provider Name | Lisa Cunningham |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215059993 PECOS PAC ID: 2163874926 Enrollment ID: I20240117001321 |
| Provider Name | Rita Horton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033436472 PECOS PAC ID: 3577915313 Enrollment ID: I20240117003993 |
| Provider Name | Woodrow Wilson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992087589 PECOS PAC ID: 7911359666 Enrollment ID: I20240117004913 |
| Provider Name | Robert Robinson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700928546 PECOS PAC ID: 3678917051 Enrollment ID: I20240214001782 |
| Provider Name | Stephanie Michelle Hamilton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013532563 PECOS PAC ID: 2466896592 Enrollment ID: I20240216002603 |
| Provider Name | Jannie Tackett |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124224035 PECOS PAC ID: 2264876184 Enrollment ID: I20240220001066 |
| Provider Name | Derrick Singleton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568639094 PECOS PAC ID: 8224472956 Enrollment ID: I20240221000725 |
| Provider Name | April Elizabeth Gray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437383312 PECOS PAC ID: 7012356942 Enrollment ID: I20240411002975 |
| Provider Name | Reginald Chandler |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043632268 PECOS PAC ID: 3173962156 Enrollment ID: I20240424000668 |
| Provider Name | Allison Schulz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487156444 PECOS PAC ID: 6305380270 Enrollment ID: I20240702003275 |
| Provider Name | Kim Segraves |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386790731 PECOS PAC ID: 9537691738 Enrollment ID: I20241013000140 |
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Vetcore22 Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1903 Jean Dr, Jonesboro, AR 72404 Phone: 870-243-9366 | |
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Secure Foundation Counseling Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 818 E Matthews Ave, Jonesboro, AR 72401 Phone: 870-218-1722 Fax: 501-712-3898 |