Kimberly McCauley

Individual provider Active NPI Case Manager/Care Coordinator · Glenwood, AR

NPI 1861228546 · NPPES record last updated Sep 10, 2024

Key facts

NPI: 1861228546
Entity type: Individual (NPI type 1)
Primary specialty: Case Manager/Care Coordinator 171M00000X
Practice address: 408 N 1St St Ste C
Glenwood, AR 71943-9252
Phone: (870) 356-7404
NPI assigned: Sep 10, 2024
Sex: Female
Sole proprietor: Yes

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.

Impact Counseling Clinic, Incorporated Adolescent and Children Mental Health Clinic/Center · Dierks, AR · NPI 1205388071

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

Practice roles

Organization	Specialty	Status	New patients
Impact Counseling Clinic, Incorporated		Past	Accepting new patients

Interoperability endpoints

FHIR API: https://api.platform.athenahealth.com/25972/brand/1/csg/1/fhir/r4

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Case Manager/Care Coordinator	171M00000X			Yes

Addresses

Primary practice location

408 N 1St St Ste C
Glenwood, AR 71943-9252

Mailing address

PO Box 575
Dierks, AR 71833-0575

Other providers in Glenwood, AR

All providers in Glenwood, AR · Case Manager/Care Coordinator in Arkansas

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 10, 2024. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.