Charlanda Ford, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

P2208006 Issued in AR

Practice address

2215 E Oak St Ste 1
Conway, AR 72032-4644

Phone

(501) 336-0511

Fax

(501) 336-4037

NPI assigned

May 6, 2008

Last updated

Aug 24, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Supportive Psych Care of Arkansas PAGroup PAC ID 8820474661, 42 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Supportive Psych Care of Arkansas PA

  • Psychiatry Physician
  • Siloam Springs, AR
  • NPI 1437887437
  Medicare reassignment Care Compare group NPD
• Inspiration Day Treatment, Inc.

  • Community/Behavioral Health Agency
  • Little Rock, AR
  • NPI 1811141807
  Medicare reassignment NPD
• Real Development Corporation

  dba RPI Behavioral Health

  • Community/Behavioral Health Agency
  • Russellville, AR
  • NPI 1568943140
  Medicare reassignment NPD
• 8900 JFK, LLC

  dba The Gardens of Sherwood

  • Community/Behavioral Health Agency
  • Sherwood, AR
  • NPI 1497220255
  NPD (past)

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

{
    "created_epoch": "1210032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661299200000",
    "number": "1376719708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 E OAK ST STE 1",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720324644",
            "telephone_number": "501-336-0511",
            "fax_number": "501-336-4037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 E OAK ST STE 1",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720324644",
            "telephone_number": "501-336-0511",
            "fax_number": "501-336-4037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD",
        "first_name": "CHARLANDA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-06",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "P2208006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacy Floyd
• Kuna Tiga Fombutu Epse Okong, MD
• Bertrand Bezanchong Teh Fonji, M.D.
• Steven Wayne Forbush, P.T.
• Trudy Davis Forbush, PHYSICAL THERAPIST
• Chelcie Ford, M.S. CF-SLP
• Madeline Jane Ford
• Madison Leigh Ford, APRN
• Shane Ford, O.D.
• Alex Foree, OD

• Mental Health Counselor in Conway, AR
• Providers in Conway, AR by specialty
• Mental Health Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.