Jeffrey L Mitchell

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

P1804059 Issued in AR

Practice address

353 E 8TH St
Mountain Home, AR 72653-4423

Phone

(870) 701-5141

Fax

(870) 701-5177

NPI assigned

Jun 4, 2015

Sex

Male

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

Enrolled in AR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hometown Behavioral Health Services of Arkansas, IncGroup PAC ID 4183779226, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Hometown Behavioral Health Services of Arkansas, Inc

  • Community/Behavioral Health Agency
  • Hoxie, AR
  • NPI 1629226931
  Medicare reassignment Care Compare group NPD
• Hometown Behavioral Health Services of Ak Inc.

  • Mental Health Counselor
  • Mountain Home, AR
  • NPI 1902372774
  NPD

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

{
    "created_epoch": "1433376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704412800000",
    "number": "1114307188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 W 6TH ST",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726533509",
            "telephone_number": "870-425-8642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 E 8TH ST",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726534423",
            "telephone_number": "870-701-5141",
            "fax_number": "870-701-5177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "JEFFREY",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-04",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "P1804059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Milliken
• Richie Minton, PTA
• Misty Mountain Imaging, Inc.
• Christan Danielle Mitchell, AT
• Jacob Wagner Mitchell
• Anastasios Mitsakos, MD
• Montera Health Arkansas LLC
• Hannah Montgomery, RBT
• Chad Steven Mooney, PHARM.D.
• Merwin B Moore, MD

• Mental Health Counselor in Mountain Home, AR
• Providers in Mountain Home, 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 Jan 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.