NPIMap

Cameron Jacobs, QBHP

Individual provider Active NPI Case Manager/Care Coordinator · Jonesboro, AR

NPI 1134864333 · NPPES record last updated Jan 8, 2025

Key facts

NPI
1134864333
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
1815 Pleasant Grove Rd
Jonesboro, AR 72405-7870
Phone
(870) 933-6886
Fax
(870) 336-1339
NPI assigned
May 2, 2022
Sex
Male
Sole proprietor
No

Organizations & group practices 2

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Changes Behavioral Health, LLC Current
since May 1, 2022		 Accepting new patients
Families, Inc of Arkansas Past Accepting new patients

Locations

204 Mississippi St S
Wynne, AR 72396
Phone (870) 208-8499

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

1815 Pleasant Grove Rd
Jonesboro, AR 72405-7870

Mailing address

1815 Pleasant Grove Rd
Jonesboro, AR 72405-7870
Phone (870) 933-6886

Other practice location 1

204 Mississippi St S
Wynne, AR 72396-3025
Phone (870) 208-8499

Other providers in Jonesboro, AR

All providers in Jonesboro, AR · Case Manager/Care Coordinator in Arkansas

Sources for this page

Verify at the official NPI Registry.