Organization Active NPI

Ouachita Health Services, LLC

  • Clinical Psychologist
  • Mena, AR
National Provider Identifier
1417634676
Registry record updated Jun 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
OUACHITA HEALTH SERVICES, LLC
Practice address
403 Morrow St N Ste D
Mena, AR 71953-4324
Phone
(479) 222-0981
NPI assigned
Jun 29, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2023

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

Authorized official

Name
Dr. Rachael Hopper, PHD, LADACNPI 1922251974
Title
Owner
Phone
(479) 216-4565

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YA0400X
Clinical PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

403 Morrow St N Ste D
Mena, AR 71953-4324

Mailing address

403 Morrow St N Ste D
Mena, AR 71953-4324

Other practice location 1

1201 College Dr
Mena, AR 71953-2513
Phone (479) 222-0981

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230721003222 AR Part B Supplier - Clinic/Group Practice 9739549718 Receives reassigned benefits from 1 practitioner
Practice locations: Mena, AR

National Provider Directory

National Provider Directory

Locations

1201 College Dr
Mena, AR 71953
Phone (479) 222-0981

1201 College Dr
Ofc
Mena, AR 71953
Phone (479) 222-0981

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1687996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688083200000",
    "number": "1417634676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 MORROW ST N STE D",
            "city": "MENA",
            "state": "AR",
            "postal_code": "719534324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 MORROW ST N STE D",
            "city": "MENA",
            "state": "AR",
            "postal_code": "719534324",
            "telephone_number": "479-222-0981"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 College Dr",
            "address_purpose": "LOCATION",
            "city": "Mena",
            "state": "AR",
            "postal_code": "719532513",
            "country_code": "US",
            "telephone_number": "479-222-0981",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OUACHITA HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-29",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A",
        "authorized_official_last_name": "HOPPER",
        "authorized_official_first_name": "RACHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-216-4565",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LADAC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mena, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.