MRS. CHRISTIAN JOHNS SMILEY LCSW NPI 1114194644

NPI Information

NPI: 1114194644
Provider Name: MRS. CHRISTIAN JOHNS SMILEY, LCSW
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

PECOS Registration: Yes

Address:
1815 PLEASANT GROVE RD
JONESBORO, AR
ZIP 72401
Phone: (870) 933-6886
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MRS. Christian Johns Smiley, LCSW is a mental health counselor in Jonesboro, AR. MRS. Christian Johns Smiley, LCSW NPI is 1114194644. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1815 PLEASANT GROVE RD
JONESBORO, AR
ZIP 72401-870
Phone: (870) 933-6886
Fax: (870) 933-9395

The NPI 1114194644 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 5/14/2008 and was last updated on 5/4/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	104100000X	Social Worker		1744-M	ARKANSAS	No
2	1041C0700X	Social Worker	Clinical	2530-C	ARKANSAS	No
3	101YM0800X	Counselor	Mental Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	5V951C455	MEDICARE PIN	ARKANSAS
2	171770795	MEDICAID	ARKANSAS
3	5V639	OTHER	ARKANSAS	BCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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