Individual provider Active NPI

Jim D Harper

  • Marriage & Family Therapist
  • Little Rock, AR
National Provider Identifier
1982856142
Registry record updated Mar 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
M9802006 Issued in AR
Practice address
11 Childrens Way # 401
Little Rock, AR 72202-3500
Phone
(501) 364-3813
NPI assigned
Oct 21, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X M9802006 AR Primary
Clinical Social Worker 1041C0700X 109-C AR

Addresses

Primary practice location

11 Childrens Way # 401
Little Rock, AR 72202-3500

Mailing address

11 Childrens Way # 401
Little Rock, AR 72202-3500
Phone (501) 364-3813

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
I20090313000312 AR Practitioner - Clinical Social Worker 0345306528 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Riverstone Wellness Center, PLLC 7 clinicians

Practice addresses (Care Compare)

5905 Forest PL
Suite 230
Little Rock, AR 72207-5265
Phone (501) 777-3200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
M9802006ARMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Children'S Hospital CurrentSince Jan 31, 2018 Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Jan 31, 2018 Accepting new patients
University of Arkansas for Medical Sciences Current Accepting new patients
Arkansas Childrens Hospital CurrentSince Jan 31, 2018 Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Jan 31, 2018 Accepting new patients
Riverstone Wellness Center, PLLC Clinical CurrentSince Mar 3, 2021 Accepting new patients

Locations

5905 Forest Pl
Ste 230
Little Rock, AR 72207
Phone (501) 777-3200

800 Marshall St
Ste 653
Little Rock, AR 72202
Phone (501) 364-4020

800 Marshall St
Little Rock, AR 72202
Phone (501) 364-3620

11 Childrens Way
#401
Little Rock, AR 72202
Phone (501) 364-3810

1 Childrens Way
Little Rock, AR 72202
Phone (501) 364-1874

1 Childrens Way
#653
Little Rock, AR 72202
Phone (501) 614-2006

Organizations & group practices 6

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": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237939200000",
    "number": "1982856142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 CHILDRENS WAY # 401",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722023500",
            "telephone_number": "501-364-3813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 CHILDRENS WAY # 401",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722023500",
            "telephone_number": "501-364-3813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARPER",
        "first_name": "JIM",
        "middle_name": "D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-21",
        "last_updated": "2009-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "AR",
            "license": "M9802006",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "109-C",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.