Draper A Buchanan, LPC

Individual provider Active NPI Professional Counselor · White Hall, AR

NPI 1144459397 · NPPES record last updated Mar 9, 2017

Key facts

NPI
1144459397
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
P1601005 (AR)
Practice address
109 Frankie LN
White Hall, AR 71602-2685
Phone
(870) 247-3588
Fax
(870) 247-2072
NPI assigned
Jul 9, 2009
Sex
Male
Sole proprietor
Yes

Organizations & group practices 3

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
P1601005ARMDProfessional Counselor
2012037755MOMDProfessional Counselor
73237TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Professional Current Accepting new patients
BHC Pinnacle Pointe Hospital LLC Past Accepting new patients
BHC Pinnacle Pointe Hospital, Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: draperbuchanan@tdh.allscriptsdirect.net

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 73237 TX
Professional Counselor 101YP2500X 2012037755 MO
Professional Counselor 101YP2500X P1601005 AR Yes

Addresses

Primary practice location

109 Frankie LN
White Hall, AR 71602-2685

Mailing address

109 Frankie LN
White Hall, AR 71602-2685
Phone (870) 247-3588

Other providers in White Hall, AR

All providers in White Hall, AR · Professional Counselor in Arkansas

Sources for this page

Verify at the official NPI Registry.