Active NPI
Charlene Carlie, MHPP
- Case Manager/Care Coordinator
- Clarksville, AR
National Provider Identifier
1396019774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 522 Mills Rd.
Maple Dorm#7
Clarksville, AR 72830 - Phone
- (479) 705-0430
- Fax
- (479) 705-0430
- NPI assigned
- Mar 1, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
522 Mills Rd.
Maple Dorm#7
Clarksville, AR 72830
Mailing address
522 Mill Rd
Maple Dorm#7
Clarksville, AR 72830-8511
Phone (479) 705-0430
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429142400000",
"number": "1396019774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "522 MILL RD",
"address_2": "MAPLE DORM#7",
"city": "CLARKSVILLE",
"state": "AR",
"postal_code": "728308511",
"telephone_number": "479-705-0430",
"fax_number": "479-705-0430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "522 MILLS RD.",
"address_2": "MAPLE DORM#7",
"city": "CLARKSVILLE",
"state": "AR",
"postal_code": "72830",
"telephone_number": "479-705-0430",
"fax_number": "479-705-0430"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARLIE",
"first_name": "CHARLENE",
"credential": "MHPP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-03-01",
"last_updated": "2015-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clarksville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.