NPIMap

Organization Active NPI

United Methodist Behavioral Health System, Inc

  • Adolescent and Children Mental Health Clinic/Center
  • Cherokee Village, AR
National Provider Identifier
1366680266
Registry record updated Apr 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
UNITED METHODIST BEHAVIORAL HEALTH SYSTEM, INC
Practice address
35 Choctaw Trce
Cherokee Village, AR 72529-2702
Phone
(870) 376-4502
Fax
(870) 376-4619
NPI assigned
Jan 30, 2009
Last updated
Apr 7, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2016

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

Authorized official

Name
Mr. Lesley Don Cole
Title
Cfo
Phone
(501) 661-0720

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X NU Primary

Addresses

Primary practice location

35 Choctaw Trce
Cherokee Village, AR 72529-2702

Mailing address

1600 Aldersgate Rd
Suite 200
Little Rock, AR 72205-6676
Phone (501) 661-0720

Other identifiers 1

IdentifierTypeStateIssuer
175425526MedicaidAR

Other names 1

  • Methodist Counseling Clinic - Cherokee Village Other name

National Provider Directory

National Provider Directory
Tax ID family
Methodist Counseling Clinic16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

Locations

35 Choctaw Trce
Cherokee Village, AR 72529
Phone (870) 376-4502

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1233273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459987200000",
    "number": "1366680266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 ALDERSGATE RD",
            "address_2": "SUITE 200",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056676",
            "telephone_number": "501-661-0720",
            "fax_number": "501-325-7938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 CHOCTAW TRCE",
            "city": "CHEROKEE VILLAGE",
            "state": "AR",
            "postal_code": "725292702",
            "telephone_number": "870-376-4502",
            "fax_number": "870-376-4619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED METHODIST BEHAVIORAL HEALTH SYSTEM, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-30",
        "last_updated": "2016-04-07",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "LESLEY",
        "authorized_official_middle_name": "DON",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "501-661-0720",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "175425526",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Methodist Counseling Clinic - Cherokee Village",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cherokee Village, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2016; 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.