NPIMap

Arthur Lynn Cook, LMFT

Individual provider Active NPI Marriage & Family Therapist · Bryant, AR

NPI 1093293193 · NPPES record last updated Jul 31, 2018

Key facts

NPI
1093293193
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
M0611010 (AR)
Practice address
200 NW 4TH St
Bryant, AR 72022-3424
Phone
(501) 847-5660
NPI assigned
Jul 31, 2018
Sex
Male
Sole proprietor
Yes

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
M0611010ARMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Napa Valley Counseling Center Past
since Jun 9, 2024		 Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist
Group: 193400000X SINGLE SPECIALTY GROUP		 106H00000X M0611010 AR Yes

Addresses

Primary practice location

200 NW 4TH St
Bryant, AR 72022-3424

Mailing address

121 Waterside Dr
Maumelle, AR 72113-5838
Phone (501) 529-9138

Other providers in Bryant, AR

All providers in Bryant, AR · Marriage & Family Therapist in Arkansas

Sources for this page

Verify at the official NPI Registry.