Individual provider Active NPI

Aric Bokker

  • Mental Health Counselor
  • Highland, AR
National Provider Identifier
1679029201
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
P1901006 Issued in AR
Practice address
2012 Highway 62 412
Highland, AR 72542-9477
Phone
(870) 856-3337
Fax
(870) 856-3334
NPI assigned
Sep 1, 2016
Last updated
Nov 14, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X P1901006 AR Primary

Addresses

Primary practice location

2012 Highway 62 412
Highland, AR 72542-9477

Mailing address

PO Box 176
Cherokee Village, AR 72525-0176
Phone (870) 257-3336

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240508002125 AR Practitioner - Mental Health Counselor 1759722762 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cornerstone Counseling Clinic, Inc.Group PAC ID 0547665382, 14 clinicians

Practice addresses (Care Compare)

508 N 2ND St
Nashville, AR 71852-3925
Phone (870) 455-0134

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Counseling Clinic, Inc. CurrentSince Dec 20, 2024 Accepting new patients
Bokker Enterprises, Inc. PastSince Oct 27, 2019 Accepting new patients

Locations

508 N 2nd St
Nashville, AR 71852
Phone (870) 455-0134

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1679029201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 176",
            "city": "CHEROKEE VILLAGE",
            "state": "AR",
            "postal_code": "725250176",
            "telephone_number": "870-257-3336",
            "fax_number": "870-257-3339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2012 HIGHWAY 62 412",
            "city": "HIGHLAND",
            "state": "AR",
            "postal_code": "725429477",
            "telephone_number": "870-856-3337",
            "fax_number": "870-856-3334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOKKER",
        "first_name": "ARIC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-01",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "P1901006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland, AR

Sources for this page

Verify at the official NPI Registry.