Active NPI
Alisha Diane Pickett, QBHP
- Case Manager/Care Coordinator
- Little Rock, AR
National Provider Identifier
1053937789
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 20400 Colonel Glenn Rd
Little Rock, AR 72210-5323 - Phone
- (501) 821-5500
- NPI assigned
- Jun 18, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
20400 Colonel Glenn Rd
Little Rock, AR 72210-5323
Mailing address
2401 Lakeview Rd Apt CC8
North Little Rock, AR 72116-9369
Phone (405) 414-8702
Other practice location 1
3621 N Kelley Ave Ste 100
Oklahoma City, OK 73111-4520
Phone (405) 524-5525
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Youth Home Inc | Past | Accepting new patients |
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/youthhome/r4/
Organizations & group practices 1
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.
-
- Psychiatric Residential Treatment Facility
- Little Rock, AR
- NPI 1942266879
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740355200000",
"number": "1053937789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2401 LAKEVIEW RD APT CC8",
"city": "NORTH LITTLE ROCK",
"state": "AR",
"postal_code": "721169369",
"telephone_number": "405-414-8702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20400 COLONEL GLENN RD",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722105323",
"telephone_number": "501-821-5500"
}
],
"practiceLocations": [
{
"address_1": "3621 N Kelley Ave Ste 100",
"address_purpose": "LOCATION",
"city": "Oklahoma City",
"state": "OK",
"postal_code": "731114520",
"country_code": "US",
"telephone_number": "405-524-5525",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PICKETT",
"first_name": "ALISHA",
"middle_name": "DIANE",
"name_prefix": "Miss",
"credential": "QBHP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-18",
"last_updated": "2025-02-24",
"certification_date": "2025-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.