Pamela Hodes, LMSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

10426-M Issued in AR

Practice address

200 S Peabody Ave
Mountain View, AR 72560-6311

Phone

(870) 269-6635

Fax

(870) 269-6632

NPI assigned

Feb 8, 2022

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Conway County Community Service Inc.

  • Community/Behavioral Health Agency
  • Mountain View, AR
  • NPI 1255994158
  NPD
• Conway County Community Service Inc.

  • Community/Behavioral Health Agency
  • Morrilton, AR
  • NPI 1770631467
  NPD (past)

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

{
    "created_epoch": "1644278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644278400000",
    "number": "1992459093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 679",
            "city": "MORRILTON",
            "state": "AR",
            "postal_code": "721100679",
            "telephone_number": "501-354-4589",
            "fax_number": "501-354-5410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S PEABODY AVE",
            "city": "MOUNTAIN VIEW",
            "state": "AR",
            "postal_code": "725606311",
            "telephone_number": "870-269-6635",
            "fax_number": "870-269-6632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODES",
        "first_name": "PAMELA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-08",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "10426-M",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMSW",
            "identifier": "10426-M",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kevin Richard Hicks, LSW, IS
• Highlands of Mountain View RCF Holdings LLC
• Highlands of Mountain View RCF, LLC
• Highlands of Mountain View SNF Holdings LLC
• Highlands of Mountain View SNF, LLC
• Martha Holland
• Hunter Holt, DC
• Jeffrey W Holt, DC
• Meagan Hook
• Eddy Marie Horton, OTR/L

• Mental Health Counselor in Mountain View, AR
• Providers in Mountain View, 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 Feb 8, 2022; 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.