| Waters Edge Counseling Play Therapy And Training | |
|
204 S 24th St Rogers AR 72758-1129 | |
| (479) 621-0301 | |
| (479) 866-6300 |
| Full Name | Waters Edge Counseling Play Therapy And Training |
|---|---|
| Speciality | Counselor |
| Location | 204 S 24th St, Rogers, Arkansas |
| Authorized Official Name and Position | Terrie Barton (PRESIDENT) |
| Authorized Official Contact | 4796210301 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Waters Edge Counseling Play Therapy And Training 204 S 24th St Rogers AR 72758-1129 Ph: (479) 621-0301 | Waters Edge Counseling Play Therapy And Training 204 S 24th St Rogers AR 72758-1129 Ph: (479) 621-0301 |
| NPI Number | 1164931291 |
|---|---|
| Provider Enumeration Date | 09/20/2017 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 1951669852 |
|---|---|
| Medicare Enrollment ID | O20171226000989 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164931291 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | P1103020 (Arkansas) | Primary |
| Provider Name | Pamela J. Tannehill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427015437 PECOS PAC ID: 9335041763 Enrollment ID: I20040124000349 |
| Provider Name | Pearl Eunice Beguesse |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437182649 PECOS PAC ID: 5092792622 Enrollment ID: I20040701001070 |
| Provider Name | Audrey A Adams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417042573 PECOS PAC ID: 9032174529 Enrollment ID: I20041123001217 |
| Provider Name | Brenda Baker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861786436 PECOS PAC ID: 8729045554 Enrollment ID: I20041214000361 |
| Provider Name | Kristie Morgan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740582311 PECOS PAC ID: 7810178084 Enrollment ID: I20110221000812 |
| Provider Name | Christine A Sinclair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457642688 PECOS PAC ID: 1850579921 Enrollment ID: I20110621000441 |
| Provider Name | Ester Salvador |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225081854 PECOS PAC ID: 1951568393 Enrollment ID: I20120213000730 |
| Provider Name | Veronica R Combs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003042540 PECOS PAC ID: 9335379718 Enrollment ID: I20140304001490 |
| Provider Name | Ashley D Harris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245435544 PECOS PAC ID: 1759500242 Enrollment ID: I20140916000300 |
| Provider Name | Kris D Anderson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811123458 PECOS PAC ID: 0648499095 Enrollment ID: I20140917000075 |
| Provider Name | Teresa E Wren |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932357175 PECOS PAC ID: 2567726490 Enrollment ID: I20180501001526 |
| Provider Name | Katherine Shook |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003220906 PECOS PAC ID: 0941553010 Enrollment ID: I20190124001478 |
| Provider Name | Stephanie Litzinger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023568151 PECOS PAC ID: 0547500589 Enrollment ID: I20190328002958 |
| Provider Name | Kelly Kendra Wilson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902345416 PECOS PAC ID: 6901228964 Enrollment ID: I20200619000856 |
| Provider Name | Lyndsey D Cryer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790918795 PECOS PAC ID: 1355606757 Enrollment ID: I20200709003533 |
| Provider Name | Amanda Shackelford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386085728 PECOS PAC ID: 0244655645 Enrollment ID: I20200803000119 |
| Provider Name | Amanda Hutchins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013033984 PECOS PAC ID: 9436576816 Enrollment ID: I20200810000157 |
| Provider Name | Kayla Lorraine Flowers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649878042 PECOS PAC ID: 4385055797 Enrollment ID: I20201116001319 |
| Provider Name | Jenni A Shaw |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982214367 PECOS PAC ID: 3476949512 Enrollment ID: I20220329003061 |
| Provider Name | Raylon M. Wilson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851973747 PECOS PAC ID: 0244615540 Enrollment ID: I20221108001542 |
| Provider Name | Shari Kimball |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821472655 PECOS PAC ID: 2163891383 Enrollment ID: I20221212000160 |
| Provider Name | Nicole Marie Tougaw Plummer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407462583 PECOS PAC ID: 4981069242 Enrollment ID: I20230420002984 |
| Provider Name | Terrie R Barton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275783953 PECOS PAC ID: 8426317447 Enrollment ID: I20240322001023 |
| Provider Name | Kristi Michelle Washington |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124495551 PECOS PAC ID: 8426496290 Enrollment ID: I20240329002249 |
| Provider Name | Debra Crews |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679806780 PECOS PAC ID: 0648348615 Enrollment ID: I20240408001773 |
| Provider Name | Amanda Jane Smart |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376711762 PECOS PAC ID: 0840631362 Enrollment ID: I20240515003007 |
| Provider Name | Erica M Olson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902277924 PECOS PAC ID: 6103267554 Enrollment ID: I20240515004540 |
Neurobess Pa Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1000 S 52nd St, Rogers, AR 72758 Phone: 479-271-9607 Fax: 479-271-2133 | |
Pathways Counseling Nwa Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2106 S 54th St Ste 3, Rogers, AR 72758 Phone: 479-295-7800 | |
Center For Stress Reduction Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9 Halsted Circle, Rogers, AR 72756 Phone: 479-631-6400 Fax: 479-631-6466 | |
Nwa Premier Therapy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5305 W Village Pkwy, Suite 8, Rogers, AR 72758 Phone: 479-372-7446 | |
Freeman-burchfield And Welles Institute Of Cognitive Behavioral Therap Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5210 W Village Pkwy, Rogers, AR 72758 Phone: 479-372-7446 Fax: 479-802-4765 | |
Fresh Roots Family Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 318 W Poplar St, Rogers, AR 72756 Phone: 479-986-8655 Fax: 479-633-9398 | |
Pure Balance Of Nwa Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3608 W Southern Hills Blvd, Rogers, AR 72758 Phone: 479-633-7052 |