Organization Active NPI

Positive Place Counseling and Consulting, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Pine Bluff, AR
National Provider Identifier
1417585019
Registry record updated Mar 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
POSITIVE PLACE COUNSELING AND CONSULTING, LLC
Practice address
807 W 6TH Ave
Pine Bluff, AR 71601-4031
Phone
(870) 592-4720
NPI assigned
Mar 30, 2020
Last updated
Mar 30, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2020

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

Authorized official

Name
Latisha Jackson, LPC
Title
Therapist
Phone
(501) 697-5345

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

807 W 6TH Ave
Pine Bluff, AR 71601-4031

Mailing address

3201 Kendyl St
Pine Bluff, AR 71603-4791
Phone (501) 697-5345

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address latisha@positiveplacetherapy.com

National Provider Directory

National Provider Directory

Locations

807 W 6th Ave
Pine Bluff, AR 71601
Phone (870) 510-5031

Practitioners & affiliated clinicians

Practitioners 1

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": "1585526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585526400000",
    "number": "1417585019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 KENDYL ST",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716034791",
            "telephone_number": "501-697-5345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 W 6TH AVE",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716014031",
            "telephone_number": "870-592-4720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POSITIVE PLACE COUNSELING AND CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-30",
        "last_updated": "2020-03-30",
        "certification_date": "2020-03-30",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "LATISHA",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "501-697-5345",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "latisha@positiveplacetherapy.com",
            "affiliation": "N",
            "address_1": "807 W 6th Ave",
            "city": "Pine Bluff",
            "state": "AR",
            "country_code": "US",
            "postal_code": "716014031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pine Bluff, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2020; 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.