NPIMap

Organization Active NPI

Maxus

  • Mental Health Counselor
  • Jonesboro, AR
National Provider Identifier
1003931189
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MAXUS
Practice address
3009 Turman Dr
Suite a
Jonesboro, AR 72404-8998
Phone
(870) 268-8875
Fax
(870) 268-8695
NPI assigned
Mar 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Ted Shul
Title
Ceo
Phone
(870) 647-2541

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X AR Primary

Addresses

Primary practice location

3009 Turman Dr
Suite a
Jonesboro, AR 72404-8998

Mailing address

1033 Old Burr Rd
Warm Springs, AR 72478-9077
Phone (870) 647-2541

National Provider Directory

National Provider Directory
Tax ID family
Maxus7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1003931189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1033 OLD BURR RD",
            "city": "WARM SPRINGS",
            "state": "AR",
            "postal_code": "724789077",
            "telephone_number": "870-647-2541",
            "fax_number": "870-647-2145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3009 TURMAN DR",
            "address_2": "SUITE A",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724048998",
            "telephone_number": "870-268-8875",
            "fax_number": "870-268-8695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXUS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SHUL",
        "authorized_official_first_name": "TED",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "870-647-2541"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.