NPIMap

Organization Active NPI

Southern Mental Health Associates

  • Professional Counselor
  • Jonesboro, AR
National Provider Identifier
1164629796
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E1043 Issued in AR
Legal business name
SOUTHERN MENTAL HEALTH ASSOCIATES
Practice address
1817 Woodsprings Rd Ste G
Jonesboro, AR 72401-6093
Phone
(870) 972-1030
Fax
(870) 972-8603
NPI assigned
Jun 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Sara Vanscoy, M.D.
Title
Owner
Phone
(870) 972-1030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X E1043 AR Primary

Addresses

Primary practice location

1817 Woodsprings Rd Ste G
Jonesboro, AR 72401-6093

Mailing address

1817 Woodsprings Rd Ste G
Jonesboro, AR 72401-6093
Phone (870) 972-1030

National Provider Directory

National Provider Directory

Locations

1817 Woodsprings Rd
Ste G
Jonesboro, AR 72401
Phone (870) 934-9800

Practitioners & affiliated clinicians

Practitioners 24

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

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164629796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1817 WOODSPRINGS RD STE G",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724016093",
            "telephone_number": "870-972-1030",
            "fax_number": "870-972-8603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1817 WOODSPRINGS RD STE G",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724016093",
            "telephone_number": "870-972-1030",
            "fax_number": "870-972-8603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN MENTAL HEALTH ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VANSCOY",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-972-1030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "E1043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 22, 2020; 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.