Judith Ann Pufall, MS LPC LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

M9713047 Issued in AR

Practice address

318 W Poplar St
Rogers, AR 72756

Phone

(479) 986-8655

Fax

(479) 633-9398

NPI assigned

Aug 9, 2006

Last updated

Sep 11, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Fresh Roots, Inc.

  dba Fresh Roots Family Counseling

  • Marriage & Family Therapist
  • Rogers, AR
  • NPI 1053479634

  Professional

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1003826934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 W POPLAR ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "72756",
            "telephone_number": "479-986-8655",
            "fax_number": "479-633-9398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 W POPLAR ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "72756",
            "telephone_number": "479-986-8655",
            "fax_number": "479-633-9398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUFALL",
        "first_name": "JUDITH",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "MS LPC LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-09",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P9907018",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "AR",
            "license": "M9713047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prospera Healthcare Arkansas LLC
• Melinda Prynne
• Psyche Nwa LLC
• PT Concepts, PLLC (Waters Edge Counseling Play Therapy and Training)
• Ptriage, LLC
• Pure Balance of Nwa PLLC
• Natalie Brandon Puryear, SLP
• Chad W Putman, MD
• Taylor Nicole Putnam, PT, DPT
• Jennifer Susanne Quinalty, M.S., CCC-SLP

• Marriage & Family Therapist in Rogers, AR
• Providers in Rogers, AR by specialty
• Marriage & Family Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.