Active NPI
Adrian N Bingham, RN, LAC
- Mental Health Counselor
- Jonesboro, AR
National Provider Identifier
1376946152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- A1602012
- Practice address
- 1117 Sandino Dr
Jonesboro, AR 72401-8763 - Phone
- (501) 442-9679
- NPI assigned
- Oct 7, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Registered Nurse | 163WC0400X | R84437 | AR | |
| Mental Health Counselor | 101YM0800X | A1602012 | AR | Primary |
Addresses
Primary practice location
1117 Sandino Dr
Jonesboro, AR 72401-8763
Mailing address
1117 Sandino Dr
Jonesboro, AR 72401-8763
Phone (501) 442-9679
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A1602012 | AR | MD | Mental Health Counselor |
| R84437 | AR | MD | Case Management Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457308800000",
"number": "1376946152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1117 SANDINO DR",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724018763",
"telephone_number": "501-442-9679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1117 SANDINO DR",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724018763",
"telephone_number": "501-442-9679"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BINGHAM",
"first_name": "ADRIAN",
"middle_name": "N",
"name_prefix": "Mrs.",
"credential": "RN, LAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-10-07",
"last_updated": "2016-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Case Management",
"state": "AR",
"license": "R84437",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AR",
"license": "A1602012",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jonesboro, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 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.