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PROFESSIONAL COUNSELING ASSOCIATES INC.
NPI 1053934703
Clinic/Center - Mental Health (Including Community Mental Health Center) in Jacksonville, AR

Active since May 28, 2020CLIA 04D2289652 · Waiver
1109 BURMAN DR, JACKSONVILLE, AR 72076(501) 982-7515 Get Directions Write a Review

NPPES record last updated: May 28, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Professional Counseling Associates Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROFESSIONAL COUNSELING ASSOCIATES INC. (NPI 1053934703) is a healthcare organization registered as a mental health (including community mental health center) in Jacksonville, Arkansas and active in the NPI registry since May 2020. The organization holds a CLIA Waiver certificate valid through September 12, 2027 and lists Debbie Hays, Supervisor, as its authorized official.

NPPES Registry Identity

NPI1053934703
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NamePROFESSIONAL COUNSELING ASSOCIATES INC.
Location Address1109 BURMAN DRJacksonville, AR 72076-4386
Mailing Address3601 Richards RdNorth Little Rock, AR 72117-2954 · (501) 221-1843
Phone(501) 982-7515
Organization SubpartNo
Authorized OfficialDebbie HaysSupervisor · (479) 967-5570
Enumeration DateMay 28, 2020
NPPES CertifiedMay 28, 2020
✔ NPI 1053934703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
1109 BURMAN DR, Jacksonville, AR 72076
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 04D2289652

Professional Counseling Associates · North Little Rock, AR
Active · expires Sep 12, 2027
CLIA Number04D2289652
Laboratory TypeCommunity Mental Health
Certificate Effective DateSeptember 13, 2025
Certificate Expiration DateSeptember 12, 2027
Laboratory DirectorCynthia D. Simpson
Laboratory Phone(870) 336-2077
Laboratory LocationProfessional Counseling Associates4354 Stockton Dr, North Little Rock, AR 72117
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHALANDA DASHAE HOWARD B.S., M.ED, MHPP
Case Manager/Care Coordinator
1109 BURMAN DR
JACKSONVILLE, AR 72076
Pulaski County (501) 982-7515
ANGELA CLARK LPC
Counselor (Professional)
1109 BURMAN DR
JACKSONVILLE, AR 72076
Pulaski County (501) 982-7515
LISA A REED MSW/LMSW
Social Worker
1109 BURMAN DR
JACKSONVILLE, AR 72076
Pulaski County (501) 982-7515
HAYLEE GARLAND LAC
Counselor (Mental Health)
1109 BURMAN DR
JACKSONVILLE, AR 72076
Pulaski County (501) 982-7515
ANDREA J EBERLE M.D.
Internal Medicine
1109 BURMAN DR
JACKSONVILLE, AR 72076
Pulaski County (501) 982-7575
GREGORY JAMES BARABINO BA, MHPP
Case Manager/Care Coordinator
1109 BURMAN DR
JACKSONVILLE, AR 72076
Pulaski County (501) 982-7515
ANTOINETTE M HODGES B.A., MHPP
Case Manager/Care Coordinator
1109 BURMAN DR
JACKSONVILLE, AR 72076
Pulaski County (501) 982-7515
LARON MICHELLE COUCH BA, MHPP
Case Manager/Care Coordinator
1109 BURMAN DR
JACKSONVILLE, AR 72076
Pulaski County (501) 328-7515

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Professional Counseling Associates Inc.'s NPI number?

The NPI number for Professional Counseling Associates Inc. is 1053934703. It was assigned to this organization in the NPPES registry on May 28, 2020.

Where is Professional Counseling Associates Inc. located?

Professional Counseling Associates Inc. is located at 1109 Burman Dr, Jacksonville, AR 72076. The listed phone number is (501) 982-7515.

What is Professional Counseling Associates Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Does Professional Counseling Associates Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D2289652) is associated with this NPI, valid through September 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Professional Counseling Associates Inc. was last updated on May 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.