Active NPI
Michael Charles Arnold, LIMHP LADC LPC
- Mental Health Counselor
- Omaha, NE
National Provider Identifier
1063404135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 697
- Practice address
- 12035 Q St
Omaha, NE 68137-3542 - Phone
- (402) 991-0611
- Fax
- (402) 991-6228
- NPI assigned
- Aug 16, 2005
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LA DC 579 | NE | |
| Mental Health Counselor | 101YM0800X | 697 | NE | Primary |
| Mental Health Counselor | 101YM0800X | 1481 | NE |
Addresses
Primary practice location
12035 Q St
Omaha, NE 68137-3542
Mailing address
12035 Q St
Omaha, NE 68137-3542
Phone (402) 991-0611
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 |
|---|---|---|---|
| LA DC 579 | NE | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Mental Health | Current | Accepting new patients |
| Spence Counseling Center PC | Mental Health | Past | Accepting new patients |
Interoperability endpoints
- michaelarnold@tdh.allscriptsdirect.net
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.
-
- Family Medicine Physician
- Lewisville, TX
- NPI 1245403567
Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475107200000",
"number": "1063404135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12035 Q ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681373542",
"telephone_number": "402-991-0611",
"fax_number": "402-991-6228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12035 Q ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681373542",
"telephone_number": "402-991-0611",
"fax_number": "402-991-6228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARNOLD",
"first_name": "MICHAEL",
"middle_name": "CHARLES",
"name_prefix": "Mr.",
"credential": "LIMHP LADC LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-16",
"last_updated": "2016-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NE",
"license": "LA DC 579",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "697",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "1481",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.