Active NPI
Donisha Lafae Samuels
- Case Manager/Care Coordinator
- Prescott, AR
National Provider Identifier
1255464699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 1658 Hwy 371 W
Prescott, AR 71857 - Phone
- (870) 887-3660
- Fax
- (870) 887-2043
- NPI assigned
- Mar 14, 2007
- 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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
1658 Hwy 371 W
Prescott, AR 71857
Mailing address
2904 Arkansas Blvd
Texarkana, AR 71854-2536
Phone (870) 773-4655
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Arkansas Counseling and Mental Health Center, Inc | Past | Accepting new patients | |
| Southwest Arkansas Counseling and Mental Health Center, Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Texarkana, AR
- NPI 1598761553
-
- Community/Behavioral Health Agency
- Prescott, AR
- NPI 1598915514
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441929600000",
"number": "1255464699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2904 ARKANSAS BLVD",
"city": "TEXARKANA",
"state": "AR",
"postal_code": "718542536",
"telephone_number": "870-773-4655",
"fax_number": "870-772-4650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1658 HWY 371 W",
"city": "PRESCOTT",
"state": "AR",
"postal_code": "71857",
"telephone_number": "870-887-3660",
"fax_number": "870-887-2043"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMUELS",
"first_name": "DONISHA",
"middle_name": "LAFAE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-14",
"last_updated": "2015-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Prescott, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.