Crowley'S Ridge Development Council Inc.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

CROWLEY'S RIDGE DEVELOPMENT COUNCIL INC.

Doing business as

Northeast Arkansas Regional Recovery Center

Practice address

2114 N Church St
Jonesboro, AR 72401-8312

Phone

(870) 932-0228

NPI assigned

Mar 3, 2023

Organization subpart

Yes

Parent organization

CROWLEY'S RIDGE DEVELOPMENT COUNCIL INC.As reported in NPPES

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

Authorized official

Name

Holly Dobbs

Title

Insurance Billing Coordinator

Phone

(870) 932-0228

Specialties & licenses 5

Addresses

Other names 2

• Northeast Arkansas Regional Recovery Center Doing business as
• NEARRC Outpatient Clinic Other name

Tax ID family

Crowley'S Ridge Development3 organizations share this tax ID, including this one

Part of

Crowley'S Ridge Development

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Crowley'S Ridge Development Council, Inc.

  • Multi-Specialty Clinic/Center
  • Jonesboro, AR
  • NPI 1275299786
  NPD tax ID
• Crowley'S Ridge Development Council, Inc.

  • Driver
  • Jonesboro, AR
  • NPI 1891532768
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Crowley'S Ridge Development Council, Inc.

  • Driver
  • Jonesboro, AR
  • NPI 1891532768
  NPPES parent name

Practitioners 1

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

• Lisa Holland, CADC

  • Addiction (Substance Use Disorder) Counselor
  • Jonesboro, AR
  • NPI 1306356415
  NPD (past)

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

{
    "created_epoch": "1677801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678060800000",
    "number": "1194425793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6009 C W POST RD",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724018139",
            "telephone_number": "870-932-0228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2114 N CHURCH ST",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724018312",
            "telephone_number": "870-932-0228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROWLEY'S RIDGE DEVELOPMENT COUNCIL INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CROWLEY'S RIDGE DEVELOPMENT COUNCIL INC.",
        "enumeration_date": "2023-03-03",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A",
        "authorized_official_last_name": "DOBBS",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_title_or_position": "INSURANCE BILLING COORDINATOR",
        "authorized_official_telephone_number": "870-932-0228"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northeast Arkansas Regional Recovery Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NEARRC Outpatient Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Samantha D Crossen
• Jesse L Crosson, MHPP
• Bridget Anne Crouch, M.S. CCC-SLP
• Holli Allison Crowe, LPN
• Hannah Nicole Crowl
• Crowley'S Ridge Development Council, Inc.
• Crowley'S Ridge Development Council, Inc.
• Crowley'S Ridge Development Council, Inc.
• Thomas M Crum
• Brandy Renae Crump, APN

• Professional Counselor in Jonesboro, AR
• Providers in Jonesboro, AR by specialty
• Professional Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; 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.