Jessica Lane Pipkin, PSY.D.

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

10-16 AP Issued in AR

Practice address

2707 Browns LN
Jonesboro, AR 72401-7213

Phone

(870) 972-4939

Fax

(870) 972-4911

NPI assigned

Sep 16, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jessicapipkin@sbpc.medalliesdirect.net

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.

• St. Bernards Hospital, Inc

  • Obstetrics Physician
  • Jonesboro, AR
  • NPI 1518327287

  AR

  Medicare reassignment Care Compare group NPD
• Northeast Arkansas Community Mental Health Center Inc

  • Community/Behavioral Health Agency
  • Jonesboro, AR
  • NPI 1336118207

  AR

  Medicare reassignment NPD
• St Bernards Hospital Inc.

  • General Acute Care Hospital
  • Jonesboro, AR
  • NPI 1396053096
  Care Compare group NPD
• St Bernards Hospital Inc

  • Home Health Agency
  • Jonesboro, AR
  • NPI 1023048659
  Care Compare group
• St Bernards Hospital Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Wynne, AR
  • NPI 1043232812
  Care Compare group
• St Bernards Hospital Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Jonesboro, AR
  • NPI 1134141906
  Care Compare group
• St Bernards Hospital Inc

  • General Acute Care Hospital
  • Jonesboro, AR
  • NPI 1336150374
  Care Compare group
• St Bernards Hospital Inc

  • General Acute Care Hospital
  • Jonesboro, AR
  • NPI 1922043686
  Care Compare group
• St Bernards Hospital Inc

  • Psychiatric Hospital
  • Jonesboro, AR
  • NPI 1932204344
  Care Compare group
• St Bernards Hospital, Inc.

  • Community Based Hospice Care Agency
  • Jonesboro, AR
  • NPI 1538197389
  Care Compare group
• St. Bernards Hospital Inc

  • Geriatric Medicine (Internal Medicine) Physician
  • Jonesboro, AR
  • NPI 1891178828
  Care Compare group
• Northeast Arkansas Community Mental Health Center Inc

  • Family Medicine Physician
  • Blytheville, AR
  • NPI 1043885759
  NPD

Specialty

Clinical Psychologist

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St Bernards Hospital Inc. 187 clinicians

Practice addresses (Care Compare)

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

{
    "created_epoch": "1284595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284595200000",
    "number": "1932417631",
    "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": "2707 BROWNS LN",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724017213",
            "telephone_number": "870-972-4939",
            "fax_number": "870-972-4911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIPKIN",
        "first_name": "JESSICA",
        "middle_name": "LANE",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-16",
        "last_updated": "2010-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "AR",
            "license": "10-16 AP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molly Michelle Pilgrim, COTA
• Asher M Pimpleton-Gray, LPC
• Pinnacle Healthcare Inc
• Pinnacle Healthcare Inc
• Robyn N Pipes
• Stephen Paul Pipkin
• Morgan Darnell Pippin, MHPP
• Amanda Sue Pippinger, PTA
• Robert Pippinger, OTR/L
• Courtney Pitcher

• All providers in Jonesboro, AR
• Counseling Psychologist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.