NPIMap

Organization Active NPI

Insight Renewal Center

  • Clinical Social Worker
  • Little Rock, AR
National Provider Identifier
1225580913
Registry record updated Jul 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1307-C Issued in AR
Legal business name
INSIGHT RENEWAL CENTER
Practice address
12410 Cantrell Rd Ste 202
Little Rock, AR 72223-0038
Phone
(015) 414-0111
Fax
(501) 222-1309
NPI assigned
Oct 27, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2023

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

Authorized official

Name
Michael McCarther
Title
Coo/Cfo
Phone
(504) 414-0111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 1307-C AR Primary

Addresses

Primary practice location

12410 Cantrell Rd Ste 202
Little Rock, AR 72223-0038

Mailing address

12410 Cantrell Rd Ste 202
Little Rock, AR 72223-0038
Phone (501) 414-0111

Other identifiers 7

IdentifierTypeStateIssuer
1225580913OtherARGROUP NPI NUMBER
40904OtherARMHN
BW213OtherARTRUE BLUE PPO
5W213OtherARARKANSAS BCBS PPP
1356431928OtherARINDIVIDUAL NPI NUMBER
508460000-00OtherARQUALCHOICE/QCA
5W213OtherARHEALTH ADVANTAGE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181024000516 AR Part B Supplier - Clinic/Group Practice 0345593109 Receives reassigned benefits from 6 practitioners
Practice locations: Little Rock, AR

National Provider Directory

National Provider Directory

Locations

12410 Cantrell Rd
Ste 202
Little Rock, AR 72223
Phone (501) 414-0111

Practitioners & affiliated clinicians

Practitioners 10

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

NPI Registry JSON

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

{
    "created_epoch": "1477526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690243200000",
    "number": "1225580913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12410 CANTRELL RD STE 202",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722230038",
            "telephone_number": "501-414-0111",
            "fax_number": "501-222-1309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12410 CANTRELL RD STE 202",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722230038",
            "telephone_number": "015-414-0111",
            "fax_number": "501-222-1309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSIGHT RENEWAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-27",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A",
        "authorized_official_last_name": "MCCARTHER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "COO/CFO",
        "authorized_official_telephone_number": "504-414-0111"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "1307-C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI NUMBER",
            "identifier": "1225580913",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN",
            "identifier": "40904",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRUE BLUE PPO",
            "identifier": "BW213",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARKANSAS BCBS PPP",
            "identifier": "5W213",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI NUMBER",
            "identifier": "1356431928",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUALCHOICE/QCA",
            "identifier": "508460000-00",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ADVANTAGE",
            "identifier": "5W213",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.