| Professional Counseling Associates Inc. | |
|
4354 Stockton Dr North Little Rock AR 72117-2917 | |
| (501) 955-7600 | |
| Not Available |
| Full Name | Professional Counseling Associates Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 4354 Stockton Dr, North Little Rock, Arkansas |
| Authorized Official Name and Position | Kelly Bunch (CREDENTIALING SUPERVISOR) |
| Authorized Official Contact | 7972551154 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Counseling Associates Inc. 2400 S 48th St Springdale AR 72762-6683 Ph: (479) 725-2020 | Professional Counseling Associates Inc. 4354 Stockton Dr North Little Rock AR 72117-2917 Ph: (501) 955-7600 |
| NPI Number | 1437164977 |
|---|---|
| Provider Enumeration Date | 07/31/2006 |
| Last Update Date | 11/05/2024 |
| Certification Date | 11/01/2024 |
| Medicare PECOS PAC ID | 0941103477 |
|---|---|
| Medicare Enrollment ID | O20040130000753 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437164977 | NPI | - | NPPES |
| 309797526 | Medicaid | AR | |
| 138579726 | Medicaid | AR | |
| 138582726 | Medicaid | AR | |
| 138580726 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Katherine B Gilchrist |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912038753 PECOS PAC ID: 7719964873 Enrollment ID: I20040707000044 |
| Provider Name | Donna P Brown |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033230008 PECOS PAC ID: 7315038148 Enrollment ID: I20070809000028 |
| Provider Name | Martha Stroh |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912217449 PECOS PAC ID: 3779766282 Enrollment ID: I20110322000016 |
| Provider Name | Michael West |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457735102 PECOS PAC ID: 3274842844 Enrollment ID: I20151021002287 |
| Provider Name | Jeffrey Walker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164824934 PECOS PAC ID: 7719257070 Enrollment ID: I20170719000337 |
| 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 | Ashley M Karr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295928018 PECOS PAC ID: 9638432289 Enrollment ID: I20180412000251 |
| Provider Name | Toni L Hicks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801914452 PECOS PAC ID: 9638418403 Enrollment ID: I20190222002056 |
| Provider Name | Shannon N Lynn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245545342 PECOS PAC ID: 1759701766 Enrollment ID: I20201013001866 |
| Provider Name | Stephanie Renee Robbins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306449566 PECOS PAC ID: 5991116790 Enrollment ID: I20201130003142 |
| Provider Name | Kimberly Bush |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083704837 PECOS PAC ID: 6103990643 Enrollment ID: I20220506001130 |
| Provider Name | Shelley Tounzen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245680958 PECOS PAC ID: 7315302536 Enrollment ID: I20230422000361 |
| Provider Name | Shannan Stewart |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952944407 PECOS PAC ID: 4082063193 Enrollment ID: I20231214003475 |
| Provider Name | Alex Schluterman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922498807 PECOS PAC ID: 4385095330 Enrollment ID: I20240104000501 |
| Provider Name | Sabrina N Lewis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043721863 PECOS PAC ID: 2567813546 Enrollment ID: I20240104001643 |
| Provider Name | Nancy C Hamlin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629222914 PECOS PAC ID: 3476904319 Enrollment ID: I20240104004149 |
| Provider Name | Rebecca Eppinette |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659797256 PECOS PAC ID: 4082065776 Enrollment ID: I20240106000763 |
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