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MIKE KNICKERBOCKER LADAC
NPI 1770847485
Counselor - Addiction (Substance Use Disorder) in Warren, AR

Active since June 27, 2012
412 YORK ST, WARREN, AR 71671(870) 226-9970(870) 226-9972 Get Directions Write a Review

NPPES record last updated: June 21, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mike Knickerbocker Ladac NPPES

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

MIKE KNICKERBOCKER LADAC (NPI 1770847485) is an individual addiction (substance use disorder) provider in Warren, Arkansas, licensed in Arkansas (0159L) and active in the NPI registry since June 2012.

NPPES Registry Identity

NPI1770847485
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMIKE KNICKERBOCKERCredential: LADAC
Location Address412 YORK STWarren, AR 71671-3218
Mailing Address412 York StWarren, AR 71671-3218 · (870) 226-9970 · Fax (870) 226-9972
Phone(870) 226-9970
Fax(870) 226-9972
Sole ProprietorNo
Enumeration DateJune 27, 2012
Last NPPES UpdateJune 21, 2026
✔ NPI 1770847485 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
Licenses✔ Licensed in AR · 0159L✔ Licensed in AR · A-194
412 YORK ST, Warren, AR 71671
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Other Providers at the Same Location NPPES 12

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

KEITH NEWTON
Case Manager/Care Coordinator
412 YORK ST
WARREN, AR 71671
Bradley County (870) 226-9970
BRAE MCDONALD
Case Manager/Care Coordinator
412 YORK ST
WARREN, AR 71671
Bradley County (870) 226-9970
MRS. LATASHA ROCHELL
Case Manager/Care Coordinator
412 YORK ST
WARREN, AR 71671
Bradley County (870) 226-9970
ANDREW TURNER
Case Manager/Care Coordinator
412 YORK ST
WARREN, AR 71671
Bradley County (870) 226-9970
ERICA DAWSON QBHP
Case Manager/Care Coordinator
412 YORK ST
WARREN, AR 71671
Bradley County (870) 226-9955
JENNIFER JONES QBHP
Case Manager/Care Coordinator
412 YORK ST
WARREN, AR 71671
Bradley County (870) 226-9955
CANDACE JOHNSON QBHP
Case Manager/Care Coordinator
412 YORK ST
WARREN, AR 71671
Bradley County (870) 226-9955
HOLLEY CURRY QBHP
Case Manager/Care Coordinator
412 YORK ST
WARREN, AR 71671
Bradley County (870) 226-9955

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 Mike Knickerbocker's NPI number?

The NPI number for Mike Knickerbocker is 1770847485. It was assigned to this individual provider in the NPPES registry on June 27, 2012.

Where is Mike Knickerbocker located?

Mike Knickerbocker practices at 412 York St, Warren, AR 71671. The listed phone number is (870) 226-9970.

What is Mike Knickerbocker's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Mike Knickerbocker was last updated on June 21, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.