Alisha Nicole Gray McCool, MNSC, APRN, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

214946 Issued in AR

Practice address

287 S Broadview St Ste B-3
Greenbrier, AR 72058-9233

Phone

(501) 209-3362

NPI assigned

Mar 7, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1615075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1366037749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 JFK BLVD",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721166756",
            "telephone_number": "501-291-1126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "287 S BROADVIEW ST STE B-3",
            "city": "GREENBRIER",
            "state": "AR",
            "postal_code": "720589233",
            "telephone_number": "501-209-3362"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5401 John F Kennedy Blvd Ste E-1",
            "address_purpose": "LOCATION",
            "city": "North Little Rock",
            "state": "AR",
            "postal_code": "721166756",
            "country_code": "US",
            "telephone_number": "501-291-1126",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCOOL",
        "first_name": "ALISHA",
        "middle_name": "NICOLE GRAY",
        "credential": "MNSC, APRN, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-07",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AR",
            "license": "214946",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AR",
            "license": "AR214946",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1972376309",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Magnolia Way Counseling and Assessments, LLC
• Kelli Amber Marengo, MNSC, APRN, PMHNP-BC
• Holly Martin
• Danielle Matthews
• Elizabeth McClelland, MS, OTR/L
• Ellen C McCrary
• Connor McEntarffer
• Alexa Medlock, APRN
• Cheri Meeks, M.S. OTR/L
• Carrie A Milholland, PHARM.D.

• Psychiatric/Mental Health Nurse Practitioner in Greenbrier, AR
• Providers in Greenbrier, AR by specialty
• Psychiatric/Mental Health Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2023; 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.