Individual provider Active NPI

Jaycie E Collier, LAC

  • Mental Health Counselor
  • Hope, AR
National Provider Identifier
1033954201
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A2406012 Issued in AR
Practice address
300 E 20TH St
Hope, AR 71801-8217
Phone
(870) 777-9051
Fax
(870) 777-3104
NPI assigned
Jun 28, 2024
Last updated
Jan 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X A2406012 AR
Mental Health Counselor 101YM0800X A2406012 AR Primary

Addresses

Primary practice location

300 E 20TH St
Hope, AR 71801-8217

Mailing address

300 E 20TH St
Hope, AR 71801-8217
Phone (870) 777-9051

Other practice location 1

2904 Arkansas Blvd
Texarkana, AR 71854-2536
Phone (870) 773-4655

Other practice location 2

201 E Hempstead St Ste 1
Nashville, AR 71852-2518
Phone (870) 777-9051

Other practice location 3

1312 W Collin Raye Dr
DE Queen, AR 71832-2135
Phone (870) 584-7115

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
A2406012ARMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Arkansas Counseling and Mental Health Center, Inc CurrentSince May 6, 2020 Accepting new patients
Southwest Arkansas Counseling and Mental Health Center, Inc Past Accepting new patients
Southwest Arkansas Counseling and Mental Health Center, Inc PastSince Jun 30, 2024 Accepting new patients

Locations

1312 W Collin Raye Dr
De Queen, AR 71832
Phone (870) 584-7115

300 E 20th St
Hope, AR 71801
Phone (870) 777-9051

201 E Hempstead St
Ste 1
Nashville, AR 71852
Phone (870) 777-9051

2904 Arkansas Blvd
Texarkana, AR 71854
Phone (870) 773-4655

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1719532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1033954201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E 20TH ST",
            "city": "HOPE",
            "state": "AR",
            "postal_code": "718018217",
            "telephone_number": "870-777-9051",
            "fax_number": "870-777-3104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E 20TH ST",
            "city": "HOPE",
            "state": "AR",
            "postal_code": "718018217",
            "telephone_number": "870-777-9051",
            "fax_number": "870-777-3104"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2904 Arkansas Blvd",
            "address_purpose": "LOCATION",
            "city": "Texarkana",
            "state": "AR",
            "postal_code": "718542536",
            "country_code": "US",
            "telephone_number": "870-773-4655",
            "fax_number": "870-777-3104",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 E Hempstead St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "AR",
            "postal_code": "718522518",
            "country_code": "US",
            "telephone_number": "870-777-9051",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1312 W Collin Raye Dr",
            "address_purpose": "LOCATION",
            "city": "DE Queen",
            "state": "AR",
            "postal_code": "718322135",
            "country_code": "US",
            "telephone_number": "870-584-7115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLLIER",
        "first_name": "JAYCIE",
        "middle_name": "E",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-28",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AR",
            "license": "A2406012",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "A2406012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hope, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; 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.