Mary E Cain, LPC
Individual provider Active NPI Professional Counselor · Walnut Ridge, AR
NPI 1346835758 · NPPES record last updated Mar 8, 2021
Key facts
- NPI
- 1346835758
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- P2102159 (AR)
- Practice address
- 1425 W Main St
Walnut Ridge, AR 72476-1431 - Phone
- (870) 886-5303
- Fax
- (870) 886-7002
- NPI assigned
- Mar 8, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Families, Inc of Arkansas
Practice addresses (Care Compare)
1425 W Main St
Walnut Ridge, AR 72476-1431
Phone (870) 886-5303
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240207001099 | AR | Practitioner - Mental Health Counselor | 3375991557 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Families, Inc of Arkansas | Current |
Accepting new patients |
Locations
1815 Pleasant Grove Rd
Jonesboro, AR 72405
Phone (870) 833-6886
1425 W Main St
Walnut Ridge, AR 72476
Phone (870) 886-5303
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | P2102159 | AR | Yes |
Addresses
Primary practice location
1425 W Main St
Walnut Ridge, AR 72476-1431
Mailing address
1815 Pleasant Grove Rd
Jonesboro, AR 72405-7870
Phone (870) 933-6886
Other providers in Walnut Ridge, AR
- Ginger Renae Britton
- Christin Brown
- Cassie Bullard
- William Alexander Burns
- Baylee Kay Burris
- Carl Stanley Duckworth P a
- Derek J Cashmer
- Bethany Clark
- Clayton Dirk Davis
- Van Allen Clayton
All providers in Walnut Ridge, AR · Professional Counselor in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 8, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.