Family Counseling & Diagnostic Clinic

Primary specialty

NutritionistTaxonomy code 133N00000X

License

14012 Issued in AR

Legal business name

FAMILY COUNSELING & DIAGNOSTIC CLINIC

Practice address

401 W Main St
Marianna, AR 72360-2102

Phone

(870) 295-5280

Fax

(870) 295-5390

NPI assigned

Apr 11, 2007

Last updated

Sep 11, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Thomas Heisler, PH.D

Title

Owner

Phone

(870) 295-5280

Specialties & licenses 10

Addresses

Tax ID family

Family Counseling Diagnostic Clinic3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Family Counseling & Diagnostic Clinic

  • Nutritionist
  • Forrest City, AR
  • NPI 1184847576
  NPD tax ID
• Family Counseling & Diagnostic Clinic

  • Licensed Practical Nurse
  • Helena, AR
  • NPI 1306069687
  NPD tax ID

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1770706103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 66",
            "city": "WYNNE",
            "state": "AR",
            "postal_code": "723960066",
            "telephone_number": "870-295-5280",
            "fax_number": "870-295-5390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W MAIN ST",
            "city": "MARIANNA",
            "state": "AR",
            "postal_code": "723602102",
            "telephone_number": "870-295-5280",
            "fax_number": "870-295-5390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY COUNSELING & DIAGNOSTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "HEISLER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "18702955280",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "14012",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "14012",
            "primary": false
        },
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "AR",
            "license": "14012",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AR",
            "license": "14012",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "AR",
            "license": "14012",
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "AR",
            "license": "14012",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "14012",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AR",
            "license": "14012",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AR",
            "license": "14012",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "14012",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Diversified Adult Day Services
• Jacquolyn Jo Early, APRN
• Evergreene Pproperties of North Carolina,LLC (Crestpark of Marianna)
• Laura Beth Felton, LPC, BCBA
• Corey Foreman
• Tammekia Shandra Fraction, MS, CCC-SLP
• Kyleigh Glass, RDN
• Stephanie Glenn, APRN

• Nutritionist in Marianna, AR
• Providers in Marianna, AR by specialty
• Nutritionist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.