NPIMap

Organization Active NPI

Crowley'S Ridge Development Council, Inc.

  • Substance Abuse Rehabilitation Facility
  • Jonesboro, AR
National Provider Identifier
1114365988
Registry record updated Mar 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
00124 Issued in AR
Legal business name
CROWLEY'S RIDGE DEVELOPMENT COUNCIL, INC.
Doing business as
Northeast Arkansas Regional Recovery Center
Practice address
6009 C W Post Rd
Jonesboro, AR 72401-8139
Phone
(870) 932-0228
Fax
(870) 910-5689
NPI assigned
Jun 13, 2013
Organization subpart
Yes
Parent organization
CROWLEY'S RIDGE DEVELOPMENT COUNCIL, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 6, 2023

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

Authorized official

Name
Jeremy Wooldridge, LCSWNPI 1922275213
Title
Ceo
Phone
(870) 932-0228

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 00124 AR Primary

Addresses

Primary practice location

6009 C W Post Rd
Jonesboro, AR 72401-8139

Mailing address

6009 C W Post Rd
Jonesboro, AR 72401-8139
Phone (870) 932-0228

Other names 1

  • Northeast Arkansas Regional Recovery Center Doing business as

National Provider Directory

National Provider Directory
Part of
Crowley'S Ridge Development

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1371081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678060800000",
    "number": "1114365988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6009 C W POST RD",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724018139",
            "telephone_number": "870-932-0228",
            "fax_number": "870-910-5689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6009 C W POST RD",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724018139",
            "telephone_number": "870-932-0228",
            "fax_number": "870-910-5689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROWLEY'S RIDGE DEVELOPMENT COUNCIL, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CROWLEY'S RIDGE DEVELOPMENT COUNCIL, INC.",
        "enumeration_date": "2013-06-13",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A",
        "authorized_official_last_name": "WOOLDRIDGE",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "870-932-0228",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "AR",
            "license": "00124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northeast Arkansas Regional Recovery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jonesboro, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; 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.