NPIMap

Organization Active NPI

United Methodist Behavioral Health Systems, Inc

  • Counselor
  • Hazen, AR
National Provider Identifier
1497993398
Registry record updated Jan 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
UNITED METHODIST BEHAVIORAL HEALTH SYSTEMS, INC
Practice address
477 N Hazen Ave
Hazen, AR 72064-8072
Phone
(501) 661-0720
NPI assigned
Jan 30, 2009
Last updated
Jan 30, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2009

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

Authorized official

Name
Cyndi Coleman, LCSW
Title
Program Director
Phone
(501) 803-3388

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU Primary

Addresses

Primary practice location

477 N Hazen Ave
Hazen, AR 72064-8072

Mailing address

1600 Aldersgate Rd
Suite 200
Little Rock, AR 72205-6614
Phone (501) 661-0720

Other names 1

  • Hazen Outpatient Other name

National Provider Directory

National Provider Directory
Tax ID family
Methodist Counseling Clinic16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

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

View all 15

Locations

309 N Hazen Ave
Hazen, AR 72064
Phone (870) 255-4549

NPI Registry JSON

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

{
    "created_epoch": "1233273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233273600000",
    "number": "1497993398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 ALDERSGATE RD",
            "address_2": "SUITE 200",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056614",
            "telephone_number": "501-661-0720",
            "fax_number": "501-325-7938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "477 N HAZEN AVE",
            "city": "HAZEN",
            "state": "AR",
            "postal_code": "720648072",
            "telephone_number": "501-661-0720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED METHODIST BEHAVIORAL HEALTH SYSTEMS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-30",
        "last_updated": "2009-01-30",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "CYNDI",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "501-803-3388",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hazen Outpatient",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hazen, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2009; 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.