Joseph Smith Arnold, LCC
Individual provider Active NPI Professional Counselor · Louisville, KY
NPI 1114125374 · NPPES record last updated May 20, 2022
Key facts
- NPI
- 1114125374
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 104211 (KY)
- Practice address
- 9710 Park Plaza Ave Unit 204
Louisville, KY 40241-2293 - Phone
- (502) 384-2844
- Fax
- (502) 384-2855
- NPI assigned
- Jul 10, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| KY-0845 | KY | MD | Addiction (Substance Use Disorder) Counselor |
| KY-0027 | KY | MD | Mental Health Counselor |
| 104211 | KY | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ambassador Counseling Services | Past | Accepting new patients | |
| Light Psychiatric Services, PSC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | KY-0845 | KY | |
| Mental Health Counselor | 101YM0800X | KY-0027 | KY | |
| Professional Counselor | 101YP2500X | 104211 | KY | Yes |
Addresses
Primary practice location
9710 Park Plaza Ave Unit 204
Louisville, KY 40241-2293
Mailing address
2309 Dogwood Cross Rd
La Grange, KY 40031-7914
Phone (502) 310-9091
Other providers in Louisville, KY
- Deijha Arnold
- Derrick Arnold
- Elizabeth Arnold
- Forest Arnold
- Jessica E Arnold
- Julianna Kelly Arnold
- Kallie Jo Arnold
- Kasi Lynn Arnold
- Kelsey Arnold
- Lindsay Flynn Arnold
All providers in Louisville, KY · Professional Counselor in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 20, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.