Betty Leak, MHPP

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

1825 E Broadway St
Forrest City, AR 72335-3409

Phone

(870) 630-2328

Fax

(870) 630-2348

NPI assigned

Dec 7, 2011

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Kids for the Future, Inc.

  • Clinical Child & Adolescent Psychologist
  • West Memphis, AR
  • NPI 1770719106
  NPD (past)

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

{
    "created_epoch": "1323216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323216000000",
    "number": "1124396007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "252 MANOR ST",
            "city": "MARION",
            "state": "AR",
            "postal_code": "723641936",
            "telephone_number": "870-739-6818",
            "fax_number": "870-739-6821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 E BROADWAY ST",
            "city": "FORREST CITY",
            "state": "AR",
            "postal_code": "723353409",
            "telephone_number": "870-630-2328",
            "fax_number": "870-630-2348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEAK",
        "first_name": "BETTY",
        "credential": "MHPP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-07",
        "last_updated": "2011-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacy Knight, MHPP
• Sudhir Kumar, M.D.
• Laeartha Banks Counseling Services LLC
• Judith NM Lamarre
• Randy Larson, MHPP
• Tyler Lee, QBHP
• Latosha Lewis
• Lifetime Vision Center
• Mary Linn, RN
• Jana Lloyd

• Case Manager/Care Coordinator in Forrest City, AR
• Providers in Forrest City, AR by specialty
• Case Manager/Care Coordinator in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2011; 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.