| Counseling Associates Inc | |
|
110 Skyline Drive Russellville AR 72801 | |
| (479) 968-1298 | |
| (479) 968-6053 |
| Full Name | Counseling Associates Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 110 Skyline Drive, Russellville, Arkansas |
| Authorized Official Name and Position | Brian Lutz (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 4799675570 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Counseling Associates Inc 110 Skyline Drive Russellville AR 72801 Ph: (479) 967-5570 | Counseling Associates Inc 110 Skyline Drive Russellville AR 72801 Ph: (479) 968-1298 |
| NPI Number | 1649381120 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 3173583564 |
|---|---|
| Medicare Enrollment ID | O20041011000417 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649381120 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (Arkansas) | Primary |
| Provider Name | Mark L Clark |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1306921853 PECOS PAC ID: 8527967298 Enrollment ID: I20040102000233 |
| Provider Name | Graham M Reid |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548230550 PECOS PAC ID: 6709876220 Enrollment ID: I20040517000509 |
| Provider Name | Angela G Howard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053401497 PECOS PAC ID: 0547221202 Enrollment ID: I20041026000117 |
| Provider Name | Cary Brent Carter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295751766 PECOS PAC ID: 5496711806 Enrollment ID: I20041207001249 |
| Provider Name | Kevin S Price |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043241334 PECOS PAC ID: 4082662523 Enrollment ID: I20050111000534 |
| Provider Name | Dianne Martaus |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063429595 PECOS PAC ID: 9638124753 Enrollment ID: I20050415000281 |
| Provider Name | John E Stafford |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1730281403 PECOS PAC ID: 6305856089 Enrollment ID: I20060425000686 |
| Provider Name | Sherri G Parks |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1427048677 PECOS PAC ID: 9830101617 Enrollment ID: I20060616000167 |
| Provider Name | Angela L Roberson-koone |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639268733 PECOS PAC ID: 7911076120 Enrollment ID: I20080514000273 |
| Provider Name | Kenneth D Pruett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952524878 PECOS PAC ID: 8224184650 Enrollment ID: I20090925000392 |
| Provider Name | Monica A Dunn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508968140 PECOS PAC ID: 9739203704 Enrollment ID: I20100826001276 |
| Provider Name | Sandra L Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467580647 PECOS PAC ID: 4486846706 Enrollment ID: I20101005000940 |
| Provider Name | Richard H Sundermann |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841364072 PECOS PAC ID: 4385832740 Enrollment ID: I20101229000459 |
| Provider Name | Asim Raza |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154423846 PECOS PAC ID: 1254511108 Enrollment ID: I20110209000526 |
| Provider Name | Penny D Clardy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982703609 PECOS PAC ID: 7315123973 Enrollment ID: I20110516000447 |
| Provider Name | Rebecca E Cole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740513704 PECOS PAC ID: 2365608395 Enrollment ID: I20120719000345 |
| Provider Name | Tessa Riffell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043309131 PECOS PAC ID: 6507012895 Enrollment ID: I20120801000567 |
| Provider Name | Vickie Mason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598011074 PECOS PAC ID: 8729237912 Enrollment ID: I20121024000387 |
| Provider Name | Rhonda Love |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154694172 PECOS PAC ID: 3779726211 Enrollment ID: I20130830000433 |
| Provider Name | Christine Peek Gustus |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770686750 PECOS PAC ID: 2264657428 Enrollment ID: I20140701001031 |
| Provider Name | Jennie Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205250693 PECOS PAC ID: 5193705788 Enrollment ID: I20140730000473 |
| Provider Name | Julie May-wewers |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1760572325 PECOS PAC ID: 5890019772 Enrollment ID: I20150126000023 |
| Provider Name | Marcia L Mcglone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528219854 PECOS PAC ID: 4981924966 Enrollment ID: I20150514000595 |
| Provider Name | Mary Beth Stage |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285830679 PECOS PAC ID: 5991619744 Enrollment ID: I20150616001928 |
| Provider Name | Whitney Reed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710361464 PECOS PAC ID: 9830408541 Enrollment ID: I20151020002609 |
| Provider Name | Michael West |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457735102 PECOS PAC ID: 3274842844 Enrollment ID: I20151021002287 |
| Provider Name | Melanie Ann Higgins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427427368 PECOS PAC ID: 8123328911 Enrollment ID: I20151201000455 |
| Provider Name | Ginger L Clifton |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639497134 PECOS PAC ID: 5193041903 Enrollment ID: I20170209001963 |
| Provider Name | Rebekah Pevia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235441684 PECOS PAC ID: 7517237381 Enrollment ID: I20170727000590 |
| Provider Name | Bethany Evans |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255636429 PECOS PAC ID: 5597021774 Enrollment ID: I20171103000034 |
| Provider Name | Melanie M Cooke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720488026 PECOS PAC ID: 5597026724 Enrollment ID: I20180302000438 |
| Provider Name | Kristy Kennedy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982799904 PECOS PAC ID: 8921340654 Enrollment ID: I20190430001098 |
| Provider Name | David Joseph Lewis Rivera |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699193110 PECOS PAC ID: 8426385345 Enrollment ID: I20190814002958 |
| Provider Name | Sherry K Armstrong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639198229 PECOS PAC ID: 7719944784 Enrollment ID: I20190824000034 |
| Provider Name | George Douglas Mitchell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477936474 PECOS PAC ID: 7810228988 Enrollment ID: I20191004000808 |
| Provider Name | Keisha A Fox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033765490 PECOS PAC ID: 5294159547 Enrollment ID: I20200904001410 |
| Provider Name | Stephanie Renee Robbins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306449566 PECOS PAC ID: 5991116790 Enrollment ID: I20201130003142 |
| Provider Name | Melissa Rose Harrison |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497223085 PECOS PAC ID: 3072928431 Enrollment ID: I20210216002962 |
| Provider Name | Meagan Keely Wood |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376914630 PECOS PAC ID: 4486061025 Enrollment ID: I20210329000806 |
| Provider Name | Cherie Lynne Duncan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922648815 PECOS PAC ID: 9234547266 Enrollment ID: I20210413000066 |
| Provider Name | Megan G Cherry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124611439 PECOS PAC ID: 2567869167 Enrollment ID: I20210924000278 |
| Provider Name | Victoria Danielle Davies |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790206886 PECOS PAC ID: 4082012570 Enrollment ID: I20211014000444 |
| Provider Name | Ashley N Mann |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770059784 PECOS PAC ID: 6406242544 Enrollment ID: I20220330000221 |
| Provider Name | Kimberly Bush |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083704837 PECOS PAC ID: 6103990643 Enrollment ID: I20220506001130 |
| Provider Name | Ann Michelle Treat |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598319311 PECOS PAC ID: 1658759824 Enrollment ID: I20220531000460 |
| Provider Name | Kristy L Ammons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740517192 PECOS PAC ID: 9931579364 Enrollment ID: I20221229002605 |
| Provider Name | Kimberly Sutterfield |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821358482 PECOS PAC ID: 3577934603 Enrollment ID: I20230127000084 |
| Provider Name | Haley Yarbrough |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053607366 PECOS PAC ID: 6204201429 Enrollment ID: I20230331000648 |
| Provider Name | Alexis Wolcott |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841627650 PECOS PAC ID: 4880069871 Enrollment ID: I20230404002888 |
| Provider Name | Demetra Thompson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356930671 PECOS PAC ID: 5193173045 Enrollment ID: I20231202000671 |
| Provider Name | Paul Castillo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811916547 PECOS PAC ID: 9638527492 Enrollment ID: I20231205000702 |
| Provider Name | Brian Wade Turnipseed |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1437551454 PECOS PAC ID: 1759730922 Enrollment ID: I20231213001467 |
| Provider Name | Elizabeth Girouard |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386307239 PECOS PAC ID: 0648629840 Enrollment ID: I20231213002792 |
| Provider Name | Rosalyn Eloise-nadine Jackson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215225438 PECOS PAC ID: 3678922796 Enrollment ID: I20231213004097 |
| Provider Name | Leigh Alexandria Maxwell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467776815 PECOS PAC ID: 7113376146 Enrollment ID: I20231215000554 |
| Provider Name | Linda Elaine Phillips |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629168067 PECOS PAC ID: 4183074966 Enrollment ID: I20231219003741 |
| Provider Name | Aaron Lee Croy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144606567 PECOS PAC ID: 0244680924 Enrollment ID: I20231220003551 |
| Provider Name | Jamie Lee Gordon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649383886 PECOS PAC ID: 1658721964 Enrollment ID: I20231228003932 |
| Provider Name | Rhomie L King |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952485245 PECOS PAC ID: 8921458969 Enrollment ID: I20240103001068 |
| Provider Name | Susan Matinchek |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922088848 PECOS PAC ID: 3476904483 Enrollment ID: I20240103004276 |
| Provider Name | John Dan Mccuin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003114943 PECOS PAC ID: 2264883289 Enrollment ID: I20240103004423 |
| Provider Name | Rachel D Stumbaugh |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770834228 PECOS PAC ID: 9133570153 Enrollment ID: I20240103004568 |
| Provider Name | Alex Schluterman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922498807 PECOS PAC ID: 4385095330 Enrollment ID: I20240104000501 |
| Provider Name | Chantal Brice |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720618267 PECOS PAC ID: 1759732415 Enrollment ID: I20240105004189 |
| Provider Name | Ronald F. Henson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538715180 PECOS PAC ID: 2668825720 Enrollment ID: I20240125001913 |
| Provider Name | Erin Willcutt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083735062 PECOS PAC ID: 0648613729 Enrollment ID: I20240206000831 |
| Provider Name | Mark Authur Coffman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780775288 PECOS PAC ID: 5092151498 Enrollment ID: I20240307002616 |
| Provider Name | Zarnez Montgomery |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598338691 PECOS PAC ID: 0749626091 Enrollment ID: I20240309000508 |
St . Mary's Regional Medical Center Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1808 W Main St, Russellville, AR 72801 Phone: 479-968-2841 Fax: 479-968-8189 | |
Counseling Associates, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1400 E 16th St, Russellville, AR 72802 Phone: 479-967-1397 Fax: 479-890-5632 | |
Beautiful Path Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1305 E Main St, Russellville, AR 72801 Phone: 501-500-1545 Fax: 479-777-9928 | |
A Gentle Journey Corportation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 211 E 4th St, Russellville, AR 72801 Phone: 479-223-0326 | |
Lake Point Recovery And Wellness Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 83 Arvac Lane, Russellville, AR 72802 Phone: 479-219-5292 Fax: 479-370-0361 | |
Tracy Tullos Southern Therapy Specialists Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 701 E Main St, Suite 2, Russellville, AR 72801 Phone: 479-576-2799 | |
Mountain Creek Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1110 W B St Ste H, Russellville, AR 72801 Phone: 479-733-8118 |