Markallen Behavioral Health System, Inc.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

P0111048 Issued in AR

Legal business name

MARKALLEN BEHAVIORAL HEALTH SYSTEM, INC.

Practice address

108 S Jefferson St
Dewitt, AR 72042-1929

Phone

(870) 946-0158

Fax

(870) 946-0159

NPI assigned

Mar 2, 2007

Last updated

Jan 9, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Steven Robert Jenkins, M.S.

Title

President, Therapist

Phone

(870) 946-0158

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231459200000",
    "number": "1164550760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 S JEFFERSON ST",
            "city": "DEWITT",
            "state": "AR",
            "postal_code": "720421929",
            "telephone_number": "870-946-0158",
            "fax_number": "870-946-0159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 S JEFFERSON ST",
            "city": "DEWITT",
            "state": "AR",
            "postal_code": "720421929",
            "telephone_number": "870-946-0158",
            "fax_number": "870-946-0159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARKALLEN BEHAVIORAL HEALTH SYSTEM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2009-01-09",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT, THERAPIST",
        "authorized_official_telephone_number": "870-946-0158",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P0111048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in De Witt, AR
• Providers in De Witt, AR by specialty
• Professional Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2009; 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.