Christian Counseling of Arkansas-Jonesboro

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

P1508087 Issued in AR

Legal business name

CHRISTIAN COUNSELING OF ARKANSAS-JONESBORO

Practice address

1717 Executive SQ
Jonesboro, AR 72401-6091

Phone

(870) 935-4102

NPI assigned

Mar 30, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Laura R Hodges, LPCNPI 1780776948

Title

Owner

Phone

(870) 935-4102

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Laura R Hodges, LPC

  • Professional Counselor
  • Jonesboro, AR
  • NPI 1780776948
  NPD (past) Authorized official

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

{
    "created_epoch": "1459296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459296000000",
    "number": "1194188912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2703 NIX LN",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724046988",
            "telephone_number": "870-935-4102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 EXECUTIVE SQ",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724016091",
            "telephone_number": "870-935-4102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIAN COUNSELING OF ARKANSAS-JONESBORO",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-30",
        "last_updated": "2016-03-30",
        "status": "A",
        "authorized_official_last_name": "HODGES",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-935-4102",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AR",
            "license": "P1508087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haiden Renee Chisnall, DNP, APRN, CPNP
• Rebecca Ann Chisom
• Grace H. Chiu, MD
• Gabriel T Chrisco
• Christian Counseling Associates of Western Pennsylvania
• Ashley Christian, LMSW
• Lynley Erin Christian, LPC
• Tanya M Cilli, OT-A
• Latoya Cisse
• Shelley Cissell, PT

• Community/Behavioral Health Agency in Jonesboro, AR
• Providers in Jonesboro, AR by specialty
• Community/Behavioral Health Agency in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2016; 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.