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CHARLISSA JOHNSON RECOVERY ASSISTANT
NPI 1396184263
Case Manager/Care Coordinator in Conway, AR

Active since June 24, 2013
132 LOWER RIDGE RD, CONWAY, AR 72032(501) 548-9905 Get Directions Write a Review

NPPES record last updated: June 24, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Charlissa Johnson Recovery Assistant NPPES

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

CHARLISSA JOHNSON RECOVERY ASSISTANT (NPI 1396184263) is an individual case manager/care coordinator provider in Conway, Arkansas and active in the NPI registry since June 2013.

NPPES Registry Identity

NPI1396184263
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameCHARLISSA JOHNSONCredential: RECOVERY ASSISTANT
Location Address132 LOWER RIDGE RDConway, AR 72032-8518
Mailing AddressPo Box 1589Benton, AR 72018-1589 · (501) 315-3344
Phone(501) 548-9905
Sole ProprietorNo
Enumeration DateJune 24, 2013
✔ NPI 1396184263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
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.
132 LOWER RIDGE RD, Conway, AR 72032
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Other Providers at the Same Location NPPES 20

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

MR. JIMI HENDERSON SR. RECOVERY ASSISTANT
Case Manager/Care Coordinator
132 LOWER RIDGE RD
CONWAY, AR 72032
Faulkner County (501) 548-9905
KELVIN RIDGELL JR.
Case Manager/Care Coordinator
132 LOWER RIDGE RD
CONWAY, AR 72032
Faulkner County (501) 315-3344
TODD MCGUIRE
Counselor (Mental Health)
132 LOWER RIDGE RD
CONWAY, AR 72032
Faulkner County (501) 315-3344
CHIGOZIE P UDUEZUE
Case Manager/Care Coordinator
132 LOWER RIDGE RD
CONWAY, AR 72032
Faulkner County (501) 303-3105
CAROL MARIE KRETZMANN LPC
Counselor (Professional)
132 LOWER RIDGE RD
CONWAY, AR 72032
Faulkner County (501) 548-9905
RILEY GAMBILL RECOVERY ASSISTANT
Case Manager/Care Coordinator
132 LOWER RIDGE RD
CONWAY, AR 72032
Faulkner County (501) 548-9905
DIERRA LEE RECOVERY ASSISTANT
Case Manager/Care Coordinator
132 LOWER RIDGE RD
CONWAY, AR 72032
Faulkner County (501) 548-9905
JOSLYN ACKLIN
Case Manager/Care Coordinator
132 LOWER RIDGE RD
CONWAY, AR 72032
Faulkner County (501) 548-9905

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 Charlissa Johnson's NPI number?

The NPI number for Charlissa Johnson is 1396184263. It was assigned to this individual provider in the NPPES registry on June 24, 2013.

Where is Charlissa Johnson located?

Charlissa Johnson practices at 132 Lower Ridge Rd, Conway, AR 72032. The listed phone number is (501) 548-9905.

What is Charlissa Johnson'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 Charlissa Johnson was last updated on June 24, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.