Organization Active NPI

Children's Evaluation &Counseling Center LLC

  • Community/Behavioral Health Agency
  • Benton, AR
National Provider Identifier
1417126582
Registry record updated Feb 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
92-05 LPE-I Issued in AR
Legal business name
CHILDREN'S EVALUATION &COUNSELING CENTER LLC
Practice address
212 W. Sevier
Benton, AR 72015
Phone
(501) 776-7708
NPI assigned
Feb 22, 2008
Last updated
Feb 22, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2008

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

Authorized official

Name
Ms. Mary Ann Callison, LPE-I
Title
Licensed Independent Psychological
Phone
(501) 776-7708

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 92-05 LPE-I AR Primary

Addresses

Primary practice location

212 W. Sevier
Benton, AR 72015

Mailing address

PO Box 2346
Benton, AR 72018-2346
Phone (501) 776-7708

National Provider Directory

National Provider Directory

Locations

212 W Sevier St
Benton, AR 72015
Phone (501) 776-0500

NPI Registry JSON

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

{
    "created_epoch": "1203638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203638400000",
    "number": "1417126582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2346",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720182346",
            "telephone_number": "501-776-7708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 W. SEVIER",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "72015",
            "telephone_number": "501-776-7708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S EVALUATION &COUNSELING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-22",
        "last_updated": "2008-02-22",
        "status": "A",
        "authorized_official_last_name": "CALLISON",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "LICENSED INDEPENDENT PSYCHOLOGICAL",
        "authorized_official_telephone_number": "501-776-7708",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPE-I"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AR",
            "license": "92-05 LPE-I",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Benton, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2008; 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.