NPIMap

Organization Active NPI

Dana's House, Inc.

  • Mental Health Counselor
  • De Witt, AR
National Provider Identifier
1376793406
Registry record updated Jan 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
DANA'S HOUSE, INC.
Practice address
108 S Jefferson St
De Witt, AR 72042-1929
Phone
(870) 509-1675
Fax
(870) 946-8303
NPI assigned
Sep 25, 2008
Last updated
Jan 20, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2025

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

Authorized official

Name
Jon C Hornbeck
Title
Executive Director
Phone
(870) 509-1675

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X NU
Mental Health Counselor 101YM0800X NU Primary
Clinical Social Worker 1041C0700X NU
Foster Care Agency 253J00000X NU
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

108 S Jefferson St
De Witt, AR 72042-1929

Mailing address

PO Box 138
De Witt, AR 72042-0138
Phone (870) 946-8303

Other identifiers 1

IdentifierTypeStateIssuer
230911744MedicaidAR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1222300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737331200000",
    "number": "1376793406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 138",
            "city": "DE WITT",
            "state": "AR",
            "postal_code": "720420138",
            "telephone_number": "870-946-8303",
            "fax_number": "870-946-8217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 S JEFFERSON ST",
            "city": "DE WITT",
            "state": "AR",
            "postal_code": "720421929",
            "telephone_number": "870-509-1675",
            "fax_number": "870-946-8303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANA'S HOUSE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-25",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-20",
        "status": "A",
        "authorized_official_last_name": "HORNBECK",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "870-509-1675"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "230911744",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in De Witt, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2025; 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.