Majestic Counseling and Rehabilitation Services LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MAJESTIC COUNSELING AND REHABILITATION SERVICES LLC

Practice address

3408 Valencia Dr.
Jonesboro, AR 72405

Phone

(870) 821-0872

NPI assigned

Oct 28, 2024

Organization subpart

No

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

Authorized official

Name

Kenjarvis Cross, LCSWNPI 1184078875

Title

Owner

Phone

(870) 821-0872

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kenjarvis Cross, LCSW

  • Clinical Social Worker
  • Blytheville, AR
  • NPI 1184078875
  NPD Authorized official

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

{
    "created_epoch": "1730073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730073600000",
    "number": "1043032410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3408 VALENCIA DR.",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "72405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3408 VALENCIA DR.",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "72405",
            "telephone_number": "870-821-0872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAJESTIC COUNSELING AND REHABILITATION SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-28",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-24",
        "status": "A",
        "authorized_official_last_name": "CROSS",
        "authorized_official_first_name": "KENJARVIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-821-0872",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Elizabeth Maglothin, MCD, CF SLP
• Kandace L Main, LPN
• Amasa Maine
• Heather Maino, LCSW
• Karis Maino
• Majewski Plastic Surgery PA Inc
• Wojciech Tomasz Majewski, M.D.
• Richard Makar, MD
• Sharp Malak, MD
• Orchid Malaty, MD

• Clinical Social Worker in Jonesboro, AR
• Providers in Jonesboro, AR by specialty
• Clinical Social Worker in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; 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.