Individual provider Active NPI

Robert Heath Meeks, LCSW, NBCFCH, SAP

  • Clinical Social Worker
  • Jonesboro, AR
National Provider Identifier
1861565574
Registry record updated Nov 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1870C Issued in AR
Practice address
484 County Road 7593
Jonesboro, AR 72401-7764
Phone
(870) 219-6312
Fax
(925) 955-4744
NPI assigned
Nov 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1870-C AR
Professional Counselor 101YP2500X 1870-C AR
Clinical Social Worker 1041C0700X 1870C AR Primary

Addresses

Primary practice location

484 County Road 7593
Jonesboro, AR 72401-7764

Mailing address

PO Box 1391
Jonesboro, AR 72403-1391
Phone (870) 219-6312

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060323000791 AR Practitioner - Clinical Social Worker 2365450921 Practice locations: Jonesboro, AR

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

484 County Rd
Suite 7593
Jonesboro, AR 72401-7764
Phone (870) 219-6312

484 CR
Suite 7593
Jonesboro, AR 72401-7764

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1870-CARMDAddiction (Substance Use Disorder) Counselor
1870CARMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Neuropsych, Inc. Past Accepting new patients
Civilpsych, LLC Addiction (Substance Use Disorder) Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511827200000",
    "number": "1861565574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1391",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724031391",
            "telephone_number": "870-219-6312",
            "fax_number": "870-932-4744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "484 COUNTY ROAD 7593",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724017764",
            "telephone_number": "870-219-6312",
            "fax_number": "925-955-4744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEEKS",
        "first_name": "ROBERT",
        "middle_name": "HEATH",
        "name_prefix": "Mr.",
        "credential": "LCSW, NBCFCH, SAP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2017-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AR",
            "license": "1870-C",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "1870-C",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "1870C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, AR

Sources for this page

Verify at the official NPI Registry.