Merinda Jackson, LAC
Individual provider Active NPI Mental Health Counselor · Oxford, AR
NPI 1992914832 · NPPES record last updated Feb 6, 2009
Key facts
- NPI
- 1992914832
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 105 Hwy 9
Oxford, AR 72565-8861 - Phone
- (870) 258-3244
- NPI assigned
- May 21, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240106000788 | AR | Practitioner - Mental Health Counselor | 2163873852 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Birch Tree Communities, Inc | Current |
Accepting new patients | |
| Birch Tree Communities, Inc | Current |
Accepting new patients | |
| Birch Tree Communities Inc | Current | Accepting new patients | |
| Birch Tree Communities Inc | Past | Accepting new patients |
Locations
1718 Hot Springs Hwy
Benton, AR 72019
Phone (501) 303-1634
242 Shake Rag Rd
Clinton, AR 72031
Phone (501) 745-3033
218 Dogwood Hollow Rd
Mountain View, AR 72560
Phone (870) 269-2298
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
105 Hwy 9
Oxford, AR 72565-8861
Mailing address
PO Box 1589
Benton, AR 72018-1589
Phone (501) 315-3344
Other providers in Oxford, AR
- Shelia Hill
- Cynthia L Holzbierlein
- Janie Horne
- Serena Howell
- Christopher Jackson
- Crystal Jaggars
- Nathaniel Johnson
- Travis Johnson
- Katrena Jones
- Sandra Jones
All providers in Oxford, AR · Mental Health Counselor in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 6, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.