NPIMap

Organization Active NPI

Resolutions Behavioral Health Service, LLC.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Crossett, AR
National Provider Identifier
1992279731
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
RESOLUTIONS BEHAVIORAL HEALTH SERVICE, LLC.
Practice address
302 Main St
Crossett, AR 71635-2928
Phone
(870) 305-1221
Fax
(870) 364-9774
NPI assigned
Jan 15, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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

Authorized official

Name
Yolanda C Johnson-Martin, LCSSWNPI 1154570521
Title
Owner
Phone
(870) 500-2324

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

302 Main St
Crossett, AR 71635-2928

Mailing address

PO Box 562
Crossett, AR 71635-0562
Phone (870) 500-2324

Other practice location 1

304 Main St
Crossett, AR 71635-2928
Phone (870) 500-2324

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190305000165 AR Part B Supplier - Clinic/Group Practice 0547509846 Receives reassigned benefits from 8 practitioners
Practice locations: Crossett, AR

National Provider Directory

National Provider Directory

Locations

302 Main St
Crossett, AR 71635
Phone (870) 305-1221

304 Main St
Crossett, AR 71635
Phone (870) 500-2324

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1547510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719273600000",
    "number": "1992279731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 562",
            "city": "CROSSETT",
            "state": "AR",
            "postal_code": "716350562",
            "telephone_number": "870-500-2324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 MAIN ST",
            "city": "CROSSETT",
            "state": "AR",
            "postal_code": "716352928",
            "telephone_number": "870-305-1221",
            "fax_number": "870-364-9774"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "304 Main St",
            "address_purpose": "LOCATION",
            "city": "Crossett",
            "state": "AR",
            "postal_code": "716352928",
            "country_code": "US",
            "telephone_number": "870-500-2324",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RESOLUTIONS BEHAVIORAL HEALTH SERVICE, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-15",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A",
        "authorized_official_last_name": "JOHNSON-MARTIN",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-500-2324",
        "authorized_official_credential": "LCSSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crossett, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.