Active NPI
Pine Bluff Counseling Group, PLLC
- Clinical Social Worker
- Pine Bluff, AR
National Provider Identifier
1366955346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 7090-C
- Legal business name
- PINE BLUFF COUNSELING GROUP, PLLC
- Practice address
- 3104 S Catalpa St Ste 5
Pine Bluff, AR 71603-4869 - Phone
- (501) 733-5413
- NPI assigned
- Nov 13, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Carey James Dobbins, LCSW
- Title
- Owner
- Phone
- (501) 733-5413
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 7090-C | AR | Primary |
Addresses
Primary practice location
3104 S Catalpa St Ste 5
Pine Bluff, AR 71603-4869
Mailing address
2106 E 6TH Ave
Pine Bluff, AR 71601-5402
Phone (501) 733-5413
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190329000399 | AR | Part B Supplier - Clinic/Group Practice | 3678813631 |
Receives reassigned benefits from 2 practitioners Practice locations: Ashdown, AR; De Queen, AR; Lonoke, AR; Paris, AR; Pine Bluff, AR |
National Provider Directory
National Provider DirectoryLocations
3104 S Catalpa St
Ste 5
Pine Bluff, AR 71603
Phone (501) 733-5413
2106 E 6th Ave
Pine Bluff, AR 71601
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510531200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1736208000000",
"number": "1366955346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2106 E 6TH AVE",
"city": "PINE BLUFF",
"state": "AR",
"postal_code": "716015402",
"telephone_number": "501-733-5413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3104 S CATALPA ST STE 5",
"city": "PINE BLUFF",
"state": "AR",
"postal_code": "716034869",
"telephone_number": "501-733-5413"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PINE BLUFF COUNSELING GROUP, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-11-13",
"last_updated": "2025-01-07",
"certification_date": "2025-01-07",
"status": "A",
"authorized_official_last_name": "DOBBINS",
"authorized_official_first_name": "CAREY",
"authorized_official_middle_name": "JAMES",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "501-733-5413",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "AR",
"license": "7090-C",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pine Bluff, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.