Organization Active NPI

Maxus Inc.

  • Mental Health Counselor
  • White Hall, AR
National Provider Identifier
1104078997
Registry record updated Jul 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MAXUS INC.
Practice address
204 Frankie Lane
White Hall, AR 71602-3067
Phone
(870) 247-2305
Fax
(870) 247-2330
NPI assigned
Oct 13, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2013

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

Authorized official

Name
Mr. Ted Suhl
Title
Ceo
Phone
(870) 647-1400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

204 Frankie Lane
White Hall, AR 71602-3067

Mailing address

1033 Old Burr Rd
Warm Springs, AR 72478-9077
Phone (870) 647-1400

Other names 1

  • Arkansas Counseling Associates Doing business as

National Provider Directory

National Provider Directory

Locations

204 Frankie Ln
White Hall, AR 71602
Phone (870) 247-2305

Practitioners & affiliated clinicians

Practitioners 25

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1223856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375142400000",
    "number": "1104078997",
    "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": "870-647-1400",
            "fax_number": "870-647-2337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 FRANKIE LANE",
            "city": "WHITE HALL",
            "state": "AR",
            "postal_code": "716023067",
            "telephone_number": "870-247-2305",
            "fax_number": "870-247-2330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXUS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-13",
        "last_updated": "2013-07-30",
        "status": "A",
        "authorized_official_last_name": "SUHL",
        "authorized_official_first_name": "TED",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "870-647-1400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arkansas Counseling Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in White Hall, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2013; 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.