Capps Wellness Clinic and Associates, Inc.

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

CAPPS WELLNESS CLINIC AND ASSOCIATES, INC.

Practice address

623 S Pine St
Harrison, AR 72601-5827

Phone

(501) 278-6688

Fax

(870) 204-5306

NPI assigned

Oct 13, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Acacia Lynette Johnson, ED.S., LPC

Title

Therapist

Phone

(501) 278-6688

Specialties & licenses 4

Addresses

Electronic endpoints 1

Practitioners 1

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

• James M Hawk, M.D.

  • Family Medicine Physician
  • Harrison, AR
  • NPI 1326028440
  NPD (past)

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

{
    "created_epoch": "1665619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665619200000",
    "number": "1124744917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "623 S PINE ST",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726015827",
            "telephone_number": "501-278-6688",
            "fax_number": "870-204-5306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 S PINE ST",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726015827",
            "telephone_number": "501-278-6688",
            "fax_number": "870-204-5306"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "303 W Newman Ave",
            "address_purpose": "LOCATION",
            "city": "Harrison",
            "state": "AR",
            "postal_code": "726015839",
            "country_code": "US",
            "telephone_number": "870-204-5640",
            "fax_number": "870-204-5306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CAPPS WELLNESS CLINIC AND ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-13",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ACACIA",
        "authorized_official_middle_name": "LYNETTE",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "501-278-6688",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ED.S., LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Research",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "cappswellness@simplesoulcounselingservices.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "623 S Pine St",
            "city": "Harrison",
            "state": "AR",
            "country_code": "US",
            "postal_code": "726015827",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nicole Cain, CD
• Kimberly Ann Callahan, PTA
• Casey Dawn Campbell, PTA
• Sjana Campbell, MHPP
• Charles Richard Cantrell Jr., LMT
• Rhianna Marie Cardiel, RN
• Cody L Cardon, APRN
• Caring Care LLC
• Christopher Allen Carroll, PT, DPT
• Sandra Casey, MHPP

• Mental Health Clinic/Center (Including Community Mental Health Center) in Harrison, AR
• Providers in Harrison, AR by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2022; 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.