Jerlene Lamelle Washington, APN

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A03529ANP Issued in AR

Practice address

7500 Dollarway Rd Ste 105
White Hall, AR 71602-3082

Phone

(870) 247-2305

Fax

(870) 247-2330

NPI assigned

Sep 21, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jerlene Lamelle Butcher Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1316563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316563200000",
    "number": "1861775314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 DOLLARWAY RD STE 105",
            "city": "WHITE HALL",
            "state": "AR",
            "postal_code": "716023082",
            "telephone_number": "870-247-2305",
            "fax_number": "870-247-2330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 DOLLARWAY RD STE 105",
            "city": "WHITE HALL",
            "state": "AR",
            "postal_code": "716023082",
            "telephone_number": "870-247-2305",
            "fax_number": "870-247-2330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASHINGTON",
        "first_name": "JERLENE",
        "middle_name": "LAMELLE",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-21",
        "last_updated": "2011-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "A03529ANP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JERLENE",
            "last_name": "BUTCHER",
            "middle_name": "LAMELLE",
            "credential": "APN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Twin Rivers Respiratory Care, Inc. (AeroCare Home Medical)
• United Pain Care, White Hall
• Walgreen Co (Walgreens #21551)
• Maricha Walker, LMSW
• Melinda Walker
• Cedric D Watts, OTR/L
• Well Woman LLC
• Wethington Management (Pamplin Audiology)
• Kristyn Wethington, AU.D. CCC-A
• White Hall Health & Rehab, LLC

• Mental Health Counselor in White Hall, AR
• Providers in White Hall, 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 Sep 21, 2011; 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.