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MR. GERALD HOWARD FUNKHOUSER JR. CRC CSM
NPI 1366617821
Case Manager/Care Coordinator in Fayetteville, AR

Active since April 25, 2008
1918 N BIRCH AVE, FAYETTEVILLE, AR 72703(479) 442-5600(479) 442-5192 Get Directions Write a Review

NPPES record last updated: April 25, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Gerald Howard Funkhouser Jr. Crc Csm NPPES

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

MR. GERALD HOWARD FUNKHOUSER JR. CRC CSM (NPI 1366617821) is an individual case manager/care coordinator provider in Fayetteville, Arkansas, licensed in Arkansas (908308853) and active in the NPI registry since April 2008.

NPPES Registry Identity

NPI1366617821
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NameMR. GERALD HOWARD FUNKHOUSER JR.Credential: CRC CSM
Location Address1918 N BIRCH AVEFayetteville, AR 72703-2408
Mailing Address1918 N Birch AveFayetteville, AR 72703-2408 · (479) 442-5600 · Fax (479) 442-5192
Phone(479) 442-5600
Fax(479) 442-5192
Sole ProprietorNo
Enumeration DateApril 25, 2008
✔ NPI 1366617821 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
License✔ Licensed in AR · 908308853
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
1918 N BIRCH AVE, Fayetteville, AR 72703
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Other Providers at the Same Location NPPES 2

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

SOURCES FOR COMMUNITY INDEPENDENT LIVING SERVICES, INC.
Case Management
1918 N BIRCH AVE
FAYETTEVILLE, AR 72703
Washington County (479) 442-5600
KIRSTIN MARIE MORGAN M.S., C.R.C.
Case Manager/Care Coordinator
1918 N BIRCH AVE
FAYETTEVILLE, AR 72703
Washington County (479) 442-5600

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 Gerald Funkhouser's NPI number?

The NPI number for Gerald Funkhouser is 1366617821. It was assigned to this individual provider in the NPPES registry on April 25, 2008.

Where is Gerald Funkhouser located?

Gerald Funkhouser practices at 1918 N Birch Ave, Fayetteville, AR 72703. The listed phone number is (479) 442-5600.

What is Gerald Funkhouser's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Gerald Funkhouser was last updated on April 25, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.