The Learning Center of Northeast Arkansas, Inc.

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

THE LEARNING CENTER OF NORTHEAST ARKANSAS, INC.

Practice address

3704 S Caraway Rd Ste 1
Jonesboro, AR 72404-0754

Phone

(870) 336-0603

Fax

(870) 336-0598

NPI assigned

Jan 4, 2022

Organization subpart

No

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

Authorized official

Name

Lynn Cooper

Title

Executive Director

Phone

(703) 352-2408

Specialties & licenses 2

Addresses

Other identifiers 1

Tax ID family

The Learning Center of Norteast Arkansas Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• The Learning Center of Northeast Arkansas, Inc.

  • Developmentally Disabled Services Day Training Agency
  • Jonesboro, AR
  • NPI 1376671008
  NPD tax ID

Locations

Practitioners 5

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

• Michael W Davis, PH.D.

  • Clinical Psychologist
  • Jonesboro, AR
  • NPI 1588715486
  NPD
• Emma Terrell Hudspeth, LCSW

  • Clinical Social Worker
  • Jonesboro, AR
  • NPI 1932558467
  NPD
• Lesli Annette-Elkins Baltz, LCSW, LPE-I

  • Psychologist
  • Jonesboro, AR
  • NPI 1992841654
  NPD (past)
• Sarah Katherine Defries, LCSW

  • Clinical Social Worker
  • Jonesboro, AR
  • NPI 1386291219
  NPD (past)
• Shemika Johnson

  • Behavior Technician
  • Jonesboro, AR
  • NPI 1336930593
  NPD (past)

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

{
    "created_epoch": "1641254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701820800000",
    "number": "1497416242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2808 FOX MEADOW LN",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724049346",
            "telephone_number": "870-932-4245",
            "fax_number": "870-931-4457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3704 S CARAWAY RD STE 1",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724040754",
            "telephone_number": "870-336-0603",
            "fax_number": "870-336-0598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LEARNING CENTER OF NORTHEAST ARKANSAS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-04",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-05",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "LYNN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "703-352-2408"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "272058744",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The Communication Station
• The Delta Therapy Group, LLC
• The Dental Clinic, Inc (Dental Clinic, Shirley McCleskey DDS)
• The Gray Area Counseling, PLLC
• The Learning Center of Northeast Arkansas, Inc.
• The Logan Centers, Inc.
• The Pit Physical Therapy and Performance PLLC
• The Practice: Therapeutic Counseling Services
• The Surgical Hospital of Jonesboro
• The Surgical Hospital of Jonesboro

• Adolescent and Children Mental Health Clinic/Center in Jonesboro, AR
• Providers in Jonesboro, AR by specialty
• Adolescent and Children Mental Health Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.