Organization Active NPI

Tameka Lancaster, LCSW, Ladac, LLC

  • Community/Behavioral Health Agency
  • Little Rock, AR
National Provider Identifier
1659761583
Registry record updated Feb 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
TAMEKA LANCASTER, LCSW, LADAC, LLC
Doing business as
Mind Fitness Management
Practice address
650 S Shackleford Rd
Suite 400-MM
Little Rock, AR 72211-3522
Phone
(501) 251-8330
Fax
(501) 246-8484
NPI assigned
Jan 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2015

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

Authorized official

Name
Ms. Tameka Lancaster, LCSWNPI 1558588590
Title
Social Worker
Phone
(501) 251-8330

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

650 S Shackleford Rd
Suite 400-MM
Little Rock, AR 72211-3522

Mailing address

650 S Shackleford Rd
Suite 400-MM
Little Rock, AR 72211-3522
Phone (501) 251-8330

Other names 1

  • Mind Fitness Management Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150317001050 AR Part B Supplier - Clinic/Group Practice 5193042976 Receives reassigned benefits from 1 practitioner
Practice locations: Little Rock, AR

National Provider Directory

National Provider Directory

Locations

11415 Huron Ln
#25521
Little Rock, AR 72211

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1422576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424649600000",
    "number": "1659761583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 S SHACKLEFORD RD",
            "address_2": "SUITE 400-MM",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722113522",
            "telephone_number": "501-251-8330",
            "fax_number": "501-246-8484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 S SHACKLEFORD RD",
            "address_2": "SUITE 400-MM",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722113522",
            "telephone_number": "501-251-8330",
            "fax_number": "501-246-8484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMEKA LANCASTER, LCSW, LADAC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-30",
        "last_updated": "2015-02-23",
        "status": "A",
        "authorized_official_last_name": "LANCASTER",
        "authorized_official_first_name": "TAMEKA",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "501-251-8330",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mind Fitness Management",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.