Organization Active NPI

Chosen One Professional Services, LLC.

  • Social Worker
  • Forrest City, AR
National Provider Identifier
1578129201
Registry record updated May 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
CHOSEN ONE PROFESSIONAL SERVICES, LLC.
Practice address
320 N Rosser St
Forrest City, AR 72335-3247
Phone
(870) 510-4981
NPI assigned
May 17, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2023

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

Authorized official

Name
Ms. Melrita Maechel Johnson, LCSW
Title
Ceo/Clinical Director
Phone
(870) 519-9482

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X Primary

Addresses

Primary practice location

320 N Rosser St
Forrest City, AR 72335-3247

Mailing address

PO Box 13810
Maumelle, AR 72113-0810
Phone (870) 519-9482

Other practice location 1

1 Saint Vincent Cir Ste 330
Little Rock, AR 72205-5408
Phone (870) 872-3676

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1558051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684108800000",
    "number": "1578129201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13810",
            "city": "MAUMELLE",
            "state": "AR",
            "postal_code": "721130810",
            "telephone_number": "870-519-9482",
            "fax_number": "501-421-3418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 N ROSSER ST",
            "city": "FORREST CITY",
            "state": "AR",
            "postal_code": "723353247",
            "telephone_number": "870-510-4981"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Saint Vincent Cir Ste 330",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722055408",
            "country_code": "US",
            "telephone_number": "870-872-3676",
            "fax_number": "501-421-3418",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHOSEN ONE PROFESSIONAL SERVICES, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-17",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MELRITA",
        "authorized_official_middle_name": "MAECHEL",
        "authorized_official_title_or_position": "CEO/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "870-519-9482",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forrest City, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.