NPI 1215955638 · live from the CMS NPI Registry
Counseling Services Of Jacksonville PA
Counselor, Mental Health in Jacksonville, AR. National Provider Identifier 1215955638, active.
NPI record
| NPI | 1215955638 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Counselor, Mental Health 101YM0800X |
| Practice location | 707 S 1st St, Jacksonville, AR 72076 |
| Practice phone | 501-985-0292 |
| Enumerated | July 17, 2006 |
| Last updated | September 11, 2025 |
| Authorized official | James Walker, Owner Clinical Director |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, Clinical | 103TC0700X | — |
| Social Worker, Clinical | 1041C0700X | — |
| Psychiatry & Neurology, Psychiatry | 2084P0800X | — |
| Counselor, Mental Health primary | 101YM0800X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.