Active NPI
Nikki Thornton, LCSW
- Social Worker
- White Hall, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 5913-C
- Practice address
- 109 Frankie LN
White Hall, AR 71602-2685 - Phone
- (870) 247-3588
- Fax
- (870) 247-2072
- NPI assigned
- Jul 10, 2014
- Last updated
- Mar 24, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 5913-C | AR | Primary |
Addresses
Primary practice location
109 Frankie LN
White Hall, AR 71602-2685
Mailing address
109 Frankie LN
White Hall, AR 71602-2685
Phone (870) 247-3588
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3322 W 34TH Ave
Pine Bluff, AR 71603-5500
Phone (870) 619-9018
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5913-C | AR | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mom Counseling LLC | Current | Accepting new patients | |
| BHC Pinnacle Pointe Hospital, Inc. | Past | Accepting new patients | |
| Uhs of Benton, Inc. | Past | Accepting new patients | |
| BHC Pinnacle Pointe Hospital LLC | Past | Accepting new patients | |
| Fulfilled Life Counseling, LLC | Past | Accepting new patients |
Locations
3041 W 28th Ave
Pine Bluff, AR 71603
Phone (501) 517-0905
3322 W 34th Ave
Pine Bluff, AR 71603
Phone (870) 606-2334
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| North Little Rock Community Health Center | Federally qualified health center | Corporate Officer (1.47%) | Feb 1, 2016 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Federally Qualified Health Center (FQHC)
- North Little Rock, AR
- NPI 1003353111
Corporate Officer
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Pine Bluff, AR
- NPI 1033889001
-
dba Pinnacle Pointe Hospital
- Psychiatric Hospital
- Little Rock, AR
- NPI 1912962341
-
dba The Pointe Outpatient Behavioral Health Services
- Adolescent and Children Mental Health Clinic/Center
- White Hall, AR
- NPI 1649542366
-
- Professional Counselor
- Jonesboro, AR
- NPI 1932762754
-
dba Rivendell Behavioral Health Services of Arkansas
- Adolescent and Children Mental Health Clinic/Center
- Pine Bluff, AR
- NPI 1699845818
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616544000000",
"number": "1215343207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 FRANKIE LN",
"city": "WHITE HALL",
"state": "AR",
"postal_code": "716022685",
"telephone_number": "870-247-3588",
"fax_number": "870-247-2072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 FRANKIE LN",
"city": "WHITE HALL",
"state": "AR",
"postal_code": "716022685",
"telephone_number": "870-247-3588",
"fax_number": "870-247-2072"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THORNTON",
"first_name": "NIKKI",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-10",
"last_updated": "2021-03-24",
"certification_date": "2021-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "AR",
"license": "5913-C",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in White Hall, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.