Merideth Elder, MHPP

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

634 W Main St
Blytheville, AR 72315-3336

Phone

(870) 780-6986

Fax

(870) 780-6987

NPI assigned

Jun 11, 2012

Last updated

Jun 11, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Merideth Clark Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Maxus Inc

  dba Arkansas Counseling Associates

  • Mental Health Counselor
  • Newport, AR
  • NPI 1952558264
  NPD (past)

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

{
    "created_epoch": "1339372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339372800000",
    "number": "1619239282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "634 W MAIN ST",
            "city": "BLYTHEVILLE",
            "state": "AR",
            "postal_code": "723153336",
            "telephone_number": "870-780-6986",
            "fax_number": "870-780-6987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "634 W MAIN ST",
            "city": "BLYTHEVILLE",
            "state": "AR",
            "postal_code": "723153336",
            "telephone_number": "870-780-6986",
            "fax_number": "870-780-6987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELDER",
        "first_name": "MERIDETH",
        "credential": "MHPP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-11",
        "last_updated": "2012-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MERIDETH",
            "last_name": "CLARK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• East Arkansas Emergency Physicians, PLLC
• East Arkansas Family Health Center Inc (Healthy Partners)
• East Arkansas Family Health Center Inc. (Healthy Partners)
• Tiffany Rochell Edmondson
• Dana Edwards, RN
• Eldercare of Arkansas Inc. (Stonebridge of Blytheville)
• Susan Elkins, RN
• Kathleen Elliott, PD
• Marc Steve Espanola
• Valerie Estell, MHPP

• Case Manager/Care Coordinator in Blytheville, AR
• Providers in Blytheville, AR by specialty
• Case Manager/Care Coordinator in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2012; 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.