Jared Trussell, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

P1704288 Issued in AR

Practice address

1405 N Pierce St Ste 101
Little Rock, AR 72207

Phone

(501) 603-2147

Fax

(501) 603-0324

NPI assigned

May 15, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Rivendell Behavioral Health Services of Ar

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Little Rock, AR
  • NPI 1851405468
  NPD (past)
• Uhs of Benton, Inc.

  dba Rivendell Behavioral Health Services of Arkansas

  • Adult Mental Health Clinic/Center
  • Little Rock, AR
  • NPI 1144394834
  NPD (past)

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

{
    "created_epoch": "1400112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533513600000",
    "number": "1114338811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 W GRAND AVE",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719013931",
            "telephone_number": "501-767-0051",
            "fax_number": "501-767-0059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 N PIERCE ST STE 101",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "72207",
            "telephone_number": "501-603-2147",
            "fax_number": "501-603-0324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUSSELL",
        "first_name": "JARED",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-15",
        "last_updated": "2018-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "P1704288",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "A1404070",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• True Self Therapy, P-LLC
• Jan Truett, RNP
• Cecilla Trujillo
• John L Trulove, CRNA, DNP
• Anne Rowland Trussell, MD
• Suzanne Adams Trussell, APRN
• TS Aquisitions, Inc (Airways Medical)
• Jyi-Ming Tseng, M.D.
• Lasharon Chardai Tubbs, APRN
• Rique Tubbs, PLMSW

• Mental Health Counselor in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Mental Health Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2018; 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.