Active NPI
Corey Foreman
- Professional Counselor
- Marianna, AR
National Provider Identifier
1700902830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- P2603011
- Practice address
- 207 W Chestnut St
Marianna, AR 72360-2071 - Phone
- (870) 630-2328
- NPI assigned
- Mar 21, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 12139 | SC | |
| Case Manager/Care Coordinator | 171M00000X | |||
| Professional Counselor | 101YP2500X | P2603011 | AR | Primary |
Addresses
Primary practice location
207 W Chestnut St
Marianna, AR 72360-2071
Mailing address
PO Box 2192
Forrest City, AR 72336-2192
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P2603011 | AR | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kids for the Future, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Child & Adolescent Psychologist
- West Memphis, AR
- NPI 1770719106
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786406400000",
"number": "1700902830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2192",
"city": "FORREST CITY",
"state": "AR",
"postal_code": "723362192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 W CHESTNUT ST",
"city": "MARIANNA",
"state": "AR",
"postal_code": "723602071",
"telephone_number": "870-630-2328"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOREMAN",
"first_name": "COREY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-21",
"last_updated": "2026-08-11",
"certification_date": "2026-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "SC",
"license": "12139",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AR",
"license": "P2603011",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marianna, AR
- Diversified Adult Day Services
- Jacquolyn Jo Early, APRN
- Evergreene Pproperties of North Carolina,LLC
- Family Counseling & Diagnostic Clinic
- Laura Beth Felton, LPC, BCBA
- Tammekia Shandra Fraction, MS, CCC-SLP
- Kyleigh Glass, RDN
- Stephanie Glenn, APRN
- Kellie Hardesty Griffith, OTR/L
- Ariel Patrice Harrell
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.