COUNSELING SERVICES OF JACKSONVILLE PA
NPI 1215955638
Counselor - Mental Health in Jacksonville, AR

Active since July 17, 2006CLIA 04D2178242 · Waiver
707 S 1ST ST, JACKSONVILLE, AR 72076(501) 985-0292(501) 985-2070 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Counseling Services Of Jacksonville Pa NPPES

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

COUNSELING SERVICES OF JACKSONVILLE PA (NPI 1215955638) is a healthcare organization registered as a mental health in Jacksonville, Arkansas and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through January 28, 2028 and lists James Randall Walker, Owner Clinical Director, as its authorized official.

NPPES Registry Identity

NPI1215955638
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameCOUNSELING SERVICES OF JACKSONVILLE PA
Location Address707 S 1ST STJacksonville, AR 72076
Mailing Address707 S 1st StJacksonville, AR 72076 · (501) 985-0292 · Fax (501) 985-2070
Fax(501) 985-2070
Organization SubpartNo
Authorized OfficialJames Randall WalkerOwner Clinical Director · (501) 985-0292
Enumeration DateJuly 17, 2006
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
NPI 1215955638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
707 S 1ST ST, Jacksonville, AR 72076

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

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 04D2178242

Counseling Services Of Jacksonville · Jacksonville, AR
Active · expires Jan 28, 2028
CLIA Number04D2178242
Laboratory TypePractitioner Other
Certificate Effective DateJanuary 29, 2026
Certificate Expiration DateJanuary 28, 2028
Laboratory DirectorHolly E. Bunn
Laboratory Phone(501) 985-0292
Laboratory LocationCounseling Services Of Jacksonville625 North First Street, Suite C, Jacksonville, AR 72076
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Counselor (Professional)
707 S 1ST ST
JACKSONVILLE, AR 72076

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 Counseling Services Of Jacksonville PA's NPI number?

The NPI number for Counseling Services Of Jacksonville PA is 1215955638. It was assigned to this organization in the NPPES registry on July 17, 2006.

Where is Counseling Services Of Jacksonville PA located?

Counseling Services Of Jacksonville PA is located at 707 S 1st St, Jacksonville, AR 72076. The listed phone number is (501) 985-0292.

What is Counseling Services Of Jacksonville PA's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Does Counseling Services Of Jacksonville PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D2178242) is associated with this NPI, valid through January 28, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Counseling Services Of Jacksonville PA accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 2 other insurers list Counseling Services Of Jacksonville PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Counseling Services Of Jacksonville PA was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.