NPIMap

Organization Active NPI

United Methodist Behavioral Health Systems, Inc

Doing business as Methodist Counseling Clinic

  • Behavior Analyst
  • Jonesboro, AR
National Provider Identifier
1679901664
Registry record updated Oct 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
UNITED METHODIST BEHAVIORAL HEALTH SYSTEMS, INC
Doing business as
Methodist Counseling Clinic
Practice address
2239 S Caraway Rd Ste M
Jonesboro, AR 72401-6234
Phone
(870) 910-3757
NPI assigned
Oct 29, 2013
Last updated
Oct 29, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2013

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

Authorized official

Name
Regina Gideon
Title
Credentialing Coordinator
Phone
(501) 906-4223

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

2239 S Caraway Rd Ste M
Jonesboro, AR 72401-6234

Mailing address

PO Box 56050
Little Rock, AR 72215-6050

Other names 1

  • Methodist Counseling Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Methodist Counseling Clinic16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

Practitioners & affiliated clinicians

Practitioners 37

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 37

NPI Registry JSON

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

{
    "created_epoch": "1383004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383004800000",
    "number": "1679901664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 56050",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722156050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2239 S CARAWAY RD STE M",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724016234",
            "telephone_number": "870-910-3757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED METHODIST BEHAVIORAL HEALTH SYSTEMS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-29",
        "last_updated": "2013-10-29",
        "status": "A",
        "authorized_official_last_name": "GIDEON",
        "authorized_official_first_name": "REGINA",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "501-906-4223"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Methodist Counseling Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jonesboro, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2013; 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.