Interventions Behavioral Health Service LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

P1103022 Issued in AR

Legal business name

INTERVENTIONS BEHAVIORAL HEALTH SERVICE LLC

Practice address

200 N Alabama St
Crossett, AR 71635-2808

Phone

(870) 415-7845

Fax

(877) 293-9503

NPI assigned

Jan 12, 2015

Last updated

Apr 28, 2021By 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

Megan T HarrisNPI 1982855979

Title

Owner

Phone

(870) 415-7845

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Locations

Practitioners 4

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.

• Megan T Harris, LPC

  • Professional Counselor
  • Crossett, AR
  • NPI 1982855979
  Medicare reassignment NPD Authorized official
• Barron Griffin, LCSW

  • Clinical Social Worker
  • Crossett, AR
  • NPI 1376955765
  Medicare reassignment NPD
• Annie Marie Haynes, LCSW

  • Clinical Social Worker
  • Portland, AR
  • NPI 1932336054
  Medicare reassignment NPD
• Sandra Tucker

  • Social Worker
  • Crossett, AR
  • NPI 1467136804
  Medicare reassignment NPD

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

{
    "created_epoch": "1421020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619568000000",
    "number": "1841689163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 WOODSHIRE DR",
            "city": "CROSSETT",
            "state": "AR",
            "postal_code": "71635",
            "telephone_number": "870-415-7845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N ALABAMA ST",
            "city": "CROSSETT",
            "state": "AR",
            "postal_code": "716352808",
            "telephone_number": "870-415-7845",
            "fax_number": "877-293-9503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERVENTIONS BEHAVIORAL HEALTH SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-12",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-415-7845"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "P1103022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "173298795",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Sowers Holman, APRN-CNP/FNP
• Stephanie Hoops, PHARM D
• Olivia Hunt, PHARMD
• Icarerx, Inc (Gammel's Clinic Pharmacy)
• Icarerx, Inc
• James Leonard Workman Jr. PA
• Jefferson Hospital Association, Inc
• Candace Jerry, LMT, RN
• Yolanda C Johnson-Martin, LCSW
• Emily Johnson, RN

• Mental Health Counselor in Crossett, AR
• Providers in Crossett, AR by specialty
• Mental Health Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.