Active NPI
Zachary Haugh
- Professional Counselor
- Judsonia, AR
National Provider Identifier
1003173774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- A1108075
- Practice address
- 120 Meghan LN
Judsonia, AR 72081-9302 - Phone
- (501) 729-4479
- Fax
- (501) 729-3537
- NPI assigned
- Apr 18, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | A1108075 | AR | Primary |
Addresses
Primary practice location
120 Meghan LN
Judsonia, AR 72081-9302
Mailing address
120 Meghan LN
Judsonia, AR 72081-9302
Phone (501) 729-4479
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A1108075 | Other | AR | LAC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A1108075 | AR | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334707200000",
"number": "1003173774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 MEGHAN LN",
"city": "JUDSONIA",
"state": "AR",
"postal_code": "720819302",
"telephone_number": "501-729-4479",
"fax_number": "501-729-3537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 MEGHAN LN",
"city": "JUDSONIA",
"state": "AR",
"postal_code": "720819302",
"telephone_number": "501-729-4479",
"fax_number": "501-729-3537"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAUGH",
"first_name": "ZACHARY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-04-18",
"last_updated": "2012-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AR",
"license": "A1108075",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LAC",
"identifier": "A1108075",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Judsonia, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.