Individual provider Active NPI

Michael Ekdahl, LPE-I

  • Professional Counselor
  • Little Rock, AR
National Provider Identifier
1013020494
Registry record updated Sep 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
95-03EI Issued in AR
Practice address
5800 West 10TH Street
Suite 600
Little Rock, AR 72204-1761
Phone
(501) 660-6817
Fax
(501) 660-6825
NPI assigned
Aug 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 95-03EI AR Primary

Addresses

Primary practice location

5800 West 10TH Street
Suite 600
Little Rock, AR 72204-1761

Mailing address

P.O. Box 251970
Little Rock, AR 72225-1970
Phone (501) 666-8686

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

LicenseStateTypeSpecialty
95-03EIARMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Centers for Youth and Families, Inc. PastSince Sep 24, 2023 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1013020494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 251970",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722251970",
            "telephone_number": "501-666-8686",
            "fax_number": "501-660-6830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 WEST 10TH STREET",
            "address_2": "SUITE 600",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722041761",
            "telephone_number": "501-660-6817",
            "fax_number": "501-660-6825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EKDAHL",
        "first_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "LPE-I",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2023-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "95-03EI",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; 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.