Organization Active NPI

Counseling Services of Eastern Arkansas

Doing business as Delta Care Community Based Rehabilitation II

  • Community/Behavioral Health Agency
  • Helena, AR
National Provider Identifier
1811140338
Registry record updated Sep 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
COUNSELING SERVICES OF EASTERN ARKANSAS
Doing business as
Delta Care Community Based Rehabilitation II
Practice address
613 Rightor St
Helena, AR 72342-3223
Phone
(870) 338-3363
Fax
(870) 338-3354
NPI assigned
Oct 28, 2008
Last updated
Sep 18, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
COUNSELING SERVICES OF EASTERN ARKANSASAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 18, 2009

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

Authorized official

Name
Donnie Lyerly
Title
Provider Credentialing
Phone
(870) 972-4939

Specialties & licenses 1

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

Addresses

Primary practice location

613 Rightor St
Helena, AR 72342-3223

Mailing address

2707 Browns LN
Jonesboro, AR 72401-7213
Phone (870) 972-4939

Other identifiers 1

IdentifierTypeStateIssuer
178384526MedicaidAR

Other names 1

  • Delta Care Community Based Rehabilitation II Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Counseling Services Eas2 organizations share this tax ID, including this one
Part of
Counseling Services Eas

Other organizations with this tax ID 1

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253232000000",
    "number": "1811140338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2707 BROWNS LN",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724017213",
            "telephone_number": "870-972-4939",
            "fax_number": "870-972-4911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 RIGHTOR ST",
            "city": "HELENA",
            "state": "AR",
            "postal_code": "723423223",
            "telephone_number": "870-338-3363",
            "fax_number": "870-338-3354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING SERVICES OF EASTERN ARKANSAS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNSELING SERVICES OF EASTERN ARKANSAS",
        "enumeration_date": "2008-10-28",
        "last_updated": "2009-09-18",
        "status": "A",
        "authorized_official_last_name": "LYERLY",
        "authorized_official_first_name": "DONNIE",
        "authorized_official_title_or_position": "PROVIDER CREDENTIALING",
        "authorized_official_telephone_number": "870-972-4939"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "178384526",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Delta Care Community Based Rehabilitation II",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Helena, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2009; 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.