NPIMap

Organization Active NPI

Ascent Acquisitions Corp-Cypdc

Doing business as Child & Youth Development

  • Mental Health Counselor
  • Jonesboro, AR
National Provider Identifier
1205980497
Registry record updated Feb 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
ASCENT ACQUISITIONS CORP-CYPDC
Doing business as
Child & Youth Development
Practice address
800 S Church St
Ste. 201
Jonesboro, AR 72401-4176
Phone
(870) 935-9911
Fax
(870) 935-3450
NPI assigned
Jan 23, 2007
Last updated
Feb 29, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2012

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

Authorized official

Name
Holly A Allgood
Title
Ins Billing Rep
Phone
(870) 819-0232

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X AR Primary

Addresses

Primary practice location

800 S Church St
Ste. 201
Jonesboro, AR 72401-4176

Mailing address

3012 Turman Dr
Jonesboro, AR 72404-8998
Phone (870) 819-0200

Other identifiers 3

IdentifierTypeStateIssuer
160746742MedicaidAR
160785526MedicaidAR
57885OtherARARKANSAS BCBS

Other names 1

  • CHILD & YOUTH DEVELOPMENT Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ascent Acquisitions Corp-Cypdc8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

3012 Turman Dr
Jonesboro, AR 72404
Phone (870) 819-0200

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330473600000",
    "number": "1205980497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3012 TURMAN DR",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724048998",
            "telephone_number": "870-819-0200",
            "fax_number": "870-819-0217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S CHURCH ST",
            "address_2": "STE. 201",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724014176",
            "telephone_number": "870-935-9911",
            "fax_number": "870-935-3450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASCENT ACQUISITIONS CORP-CYPDC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2012-02-29",
        "status": "A",
        "authorized_official_last_name": "ALLGOOD",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "INS BILLING REP",
        "authorized_official_telephone_number": "870-819-0232"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "160746742",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "160785526",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARKANSAS BCBS",
            "identifier": "57885",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHILD & YOUTH DEVELOPMENT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 29, 2012; 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.