Jackie'S Hope Therapy, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

JACKIE'S HOPE THERAPY, PLLC

Practice address

3101 Carnaby St Apt E101
Jonesboro, AR 72405-6008

Phone

(870) 225-1187

NPI assigned

Jun 14, 2023

Organization subpart

No

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

Authorized official

Name

Ms. Kenya Nichelle Duncan, LCSWNPI 1720538069

Title

Owner/Operator

Phone

(870) 225-1187

Specialties & licenses 1

Addresses

Practitioners 1

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

• Kenya Nichelle Duncan, LCSW

  • Clinical Social Worker
  • Jonesboro, AR
  • NPI 1720538069
  NPD Authorized official

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

{
    "created_epoch": "1686700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686700800000",
    "number": "1427732064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 CARNABY ST APT E101",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724056008",
            "telephone_number": "870-225-1187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 CARNABY ST APT E101",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724056008",
            "telephone_number": "870-225-1187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKIE'S HOPE THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-14",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-13",
        "status": "A",
        "authorized_official_last_name": "DUNCAN",
        "authorized_official_first_name": "KENYA",
        "authorized_official_middle_name": "NICHELLE",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "870-225-1187",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brett Ivy
• Chrisin Ivy, MCD, CF-SLP
• Marjorie Ivy
• Shervin Daniel Izadian, PHARM.D.
• J Brian Gray OD PA
• Bonita Jackson-Amos, LPC
• Amanda Jackson
• Anastasia Jackson, MCD, CCC-SLP
• Ashlee Erin Jackson
• Ashley M Jackson

• Clinical Social Worker in Jonesboro, AR
• Providers in Jonesboro, AR by specialty
• Clinical Social Worker in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; 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.