Active NPI
Brigitta Jackson Arnold, MS, LPC, MHC, CMFT
- Mental Health Counselor
- Douglasville, GA
National Provider Identifier
1013573831
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPC010895
- Practice address
- 8335 Office Park Dr
Douglasville, GA 30134-6937 - Phone
- (678) 324-0476
- NPI assigned
- May 16, 2019
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPC010895 | GA | Primary |
Addresses
Primary practice location
8335 Office Park Dr
Douglasville, GA 30134-6937
Mailing address
203 Misty Hill TRL
Dallas, GA 30132-1197
Phone (404) 234-2955
Other practice location 1
203 Misty Hill Trl
Dallas, GA 30132-1197
Phone (404) 234-2955
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC010895 | GA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Conscious Spot LTD | Past | Accepting new patients | |
| Recovery Unlimited LLC | Mental Health | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Dallas, GA
- NPI 1730766122
-
- Community/Behavioral Health Agency
- Douglasville, GA
- NPI 1427434554
Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557964800000",
"number": "1013573831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "203 MISTY HILL TRL",
"city": "DALLAS",
"state": "GA",
"postal_code": "301321197",
"telephone_number": "404-234-2955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8335 OFFICE PARK DR",
"city": "DOUGLASVILLE",
"state": "GA",
"postal_code": "301346937",
"telephone_number": "678-324-0476"
}
],
"practiceLocations": [
{
"address_1": "203 Misty Hill Trl",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "GA",
"postal_code": "301321197",
"country_code": "US",
"telephone_number": "404-234-2955",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ARNOLD",
"first_name": "BRIGITTA",
"middle_name": "JACKSON",
"credential": "MS, LPC, MHC, CMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-16",
"last_updated": "2019-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "GA",
"license": "LPC010895",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Douglasville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.