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Deactivated NPI 1720351828 Deactivated / Inactive NPI Male Practitioner

Mark Havens , RECOVERY ASSISTANT

Case Manager/Care Coordinator • Conway, AR

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Mark Havens has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 21, 2012
NPI Deactivation Date October 24, 2018
Total Practice Duration ~6 Years of Practice (2012 – 2018)

Professional Overview & Biography Verified Profile Summary

Mark Havens, RECOVERY ASSISTANT was a registered Case Manager/Care Coordinator practicing in Conway, AR. Throughout an active medical career spanning 6 years, Mark Havens provided care at the practice location at 132 LOWER RIDGE RD until profile deactivation on 2018-10-24.

Practice Location & Contact Primary Location

Practice Address

132 Lower Ridge Rd

Conway, AR 720328518

Telephone 5015489905
Associated Practice Facility / Clinic
🏢 Birch Tree Communities Inc Facility NPI 1770733768

Specialty Benchmarks & Practice Insights

Comparative analytics for Case Manager/Care Coordinator in Conway, AR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.5 Yrs
Regional Practice Density
544 Specialists

Practicing in Conway, AR (11561 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Case Manager/Care Coordinator Primary Specialty

NUCC Taxonomy Code: 171M00000X

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Jimi Henderson , RECOVERY ASSISTANT

Case Manager/Care Coordinator

NPI 1003203332

RECOVERYASSISTANT

Carol Kretzmann , LPC

Counselor - Professional

NPI 1033163175

Licensed Professional Counselor

Vertis Trezvant , RECOVERY ASSISTANT

Case Manager/Care Coordinator

NPI 1033436498

RECOVERYASSISTANT

Riley Gambill , RECOVERY ASSISTANT

Case Manager/Care Coordinator

NPI 1033466743

RECOVERYASSISTANT

Dierra Lee , RECOVERY ASSISTANT

Case Manager/Care Coordinator

NPI 1033542857

RECOVERYASSISTANT

Joslyn Acklin

Case Manager/Care Coordinator

NPI 1033594064

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated October 24, 2018

Record deactivated on October 24, 2018

NPI Profile Active February 21, 2012

NPI status registered as active in NPPES database

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Updated Practice Location February 21, 2012

Registered at 132 LOWER RIDGE RD, CONWAY, AR 720328518 (Tel: 5015489905)

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Updated Business Mailing Address February 21, 2012

Registered at PO BOX 1589, BENTON, AR 720181589 (Tel: 5013153344)

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Provider Name / Credentials Updated February 21, 2012

Recorded as MARK HAVENS, RECOVERY ASSISTANT

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 21, 2012

Case Manager/Care Coordinator

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Initial NPI Registration & Enumeration February 21, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1720351828
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 21, 2012
Last Update: February 21, 2012
Deactivation Date: October 24, 2018

Mailing Address

Po Box 1589

Benton, AR 720181589

Phone: 5013153344

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.