Counseling Services of Eastern Arkansas

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

COUNSELING SERVICES OF EASTERN ARKANSAS

Practice address

661 Addison Dr
Wynne, AR 72396-1602

Phone

(870) 238-1135

Fax

(870) 972-4911

NPI assigned

Oct 3, 2008

Last updated

Sep 18, 2009By the provider in NPPES

Organization subpart

Yes

Parent organization

COUNSELING SERVICES OF EASTERN ARKANSASAs reported in NPPES

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

Authorized official

Name

Donnie Lyerly

Title

Provider Credentialing

Phone

(870) 972-4939

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Counseling Services Eas

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.

• Counseling Services of Eastern Arkansas

  • Community/Behavioral Health Agency
  • Jonesboro, AR
  • NPI 1851351712
  NPPES parent name

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

{
    "created_epoch": "1222992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253232000000",
    "number": "1285885608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2707 BROWNS LN",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724017213",
            "telephone_number": "870-972-4939",
            "fax_number": "870-972-4911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "661 ADDISON DR",
            "city": "WYNNE",
            "state": "AR",
            "postal_code": "723961602",
            "telephone_number": "870-238-1135",
            "fax_number": "870-972-4911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING SERVICES OF EASTERN ARKANSAS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNSELING SERVICES OF EASTERN ARKANSAS",
        "enumeration_date": "2008-10-03",
        "last_updated": "2009-09-18",
        "status": "A",
        "authorized_official_last_name": "LYERLY",
        "authorized_official_first_name": "DONNIE",
        "authorized_official_title_or_position": "PROVIDER CREDENTIALING",
        "authorized_official_telephone_number": "870-972-4939"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "172063526",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tiffani Lynette Collins, COTA/L
• Stacy E Cooper, PHARMD
• Coopers Anesthesia Services
• Caleb Cothern
• Counseling Consultants
• Counseling Services of Eastern Arkansas
• Patricia D. Crail, PT
• Brandon Creech, OTR/L
• Crestpark Wynne, LLC
• Cross County Workshop

• Community/Behavioral Health Agency in Wynne, AR
• Providers in Wynne, AR by specialty
• Community/Behavioral Health Agency in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2009; 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.