Jordan Wilkison, LAC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A1703195 Issued in AR

Practice address

1521 N Washington St
Forrest City, AR 72335-2152

Phone

(870) 633-8092

Fax

(870) 633-8358

NPI assigned

Apr 7, 2017

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• BHC Pinnacle Pointe Hospital LLC

  • Psychiatric Hospital
  • Little Rock, AR
  • NPI 1912962341
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1491523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491523200000",
    "number": "1023541950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1521 N WASHINGTON ST",
            "city": "FORREST CITY",
            "state": "AR",
            "postal_code": "723352152",
            "telephone_number": "870-633-8092",
            "fax_number": "870-633-8358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 N WASHINGTON ST",
            "city": "FORREST CITY",
            "state": "AR",
            "postal_code": "723352152",
            "telephone_number": "870-633-8092",
            "fax_number": "870-633-8358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKISON",
        "first_name": "JORDAN",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-07",
        "last_updated": "2017-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "A1703195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dwain Whitfield
• Christine Whitley, CASE MANAGER
• Brooke Elizabeth Cicero Wiggins, DMD
• Lynzi Elizabeth Wiggins, APRN
• Diana Wilborn
• Holly Rae Willard, BS,CCS,CADC
• Kiffany Williams
• Meredith Anne Williams, M.D.
• Shontel Denise Wilson, MS,CCC-SLP
• Lashunda Winfrey, CM/ACTIVITY THERP.

• Mental Health Counselor in Forrest City, AR
• Providers in Forrest City, AR by specialty
• Mental Health Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.