Consolidated Youth Services

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

CONSOLIDATED YOUTH SERVICES

Practice address

4220 Stadium Blvd
Jonesboro, AR 72404-9384

Phone

(870) 972-1110

Fax

(870) 972-5433

NPI assigned

Aug 30, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Bonnie Sue Smith

Title

Exec. Director

Phone

(870) 972-1110

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1188432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188432000000",
    "number": "1619161833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4220 STADIUM BLVD",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724049384",
            "telephone_number": "870-972-1110",
            "fax_number": "870-972-5433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4220 STADIUM BLVD",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724049384",
            "telephone_number": "870-972-1110",
            "fax_number": "870-972-5433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONSOLIDATED YOUTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-30",
        "last_updated": "2007-08-30",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "EXEC. DIRECTOR",
        "authorized_official_telephone_number": "870-972-1110",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AR",
            "license": "10011",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1359337",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shelbi N Conger
• Gracicla Conley
• Jennifer Larand Conn, SLP
• Grant Conner
• Jammie M Conrey, RN
• Lindsay Constant
• Jodi L Conway
• Micah Conway
• Briana Cook, MSN, APRN, FNP-C
• David M Cook

• Case Management Agency in Jonesboro, AR
• Providers in Jonesboro, AR by specialty
• Case Management Agency in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2007; 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.