Individual provider Active NPI

Arlene J O'Brien, LPC

  • Professional Counselor
  • Licking, MO
National Provider Identifier
1154766806
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2010040294 Issued in MO
Practice address
15423 McCloy Road
Licking, MO 65542
Phone
(417) 260-7707
NPI assigned
May 8, 2013
Last updated
Apr 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 2010040294 MO
Addiction (Substance Use Disorder) Counselor 101YA0400X 2010040294 MO
Mental Health Counselor 101YM0800X 2010040294 MO
Professional Counselor 101YP2500X 2010040294 MO Primary

Addresses

Primary practice location

15423 McCloy Road
Licking, MO 65542

Mailing address

P.O. Box 111
15423 McCloy Road
Licking, MO 65542-0111
Phone (417) 260-7707

Other identifiers 1

IdentifierTypeStateIssuer
1154766806MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250108000325 MO Practitioner - Mental Health Counselor 5496080087 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2010040294MOMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Community Counseling Services of Texas County Professional Current Accepting new patients
Teladoc Health Medical Group, P.a. Counselor Current Accepting new patients
Community Counseling Services of Missouri, L.L.C. Counselor CurrentSince Oct 27, 2024 Accepting new patients
Community Counseling Services of Missouri, L.L.C. Addiction (Substance Use Disorder) Current Accepting new patients

Interoperability endpoints

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

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1367971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743984000000",
    "number": "1154766806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 111",
            "address_2": "15423 MCCLOY ROAD",
            "city": "LICKING",
            "state": "MO",
            "postal_code": "655420111",
            "telephone_number": "417-260-7707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15423 MCCLOY ROAD",
            "city": "LICKING",
            "state": "MO",
            "postal_code": "65542",
            "telephone_number": "417-260-7707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "ARLENE",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-08",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MO",
            "license": "2010040294",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MO",
            "license": "2010040294",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "2010040294",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2010040294",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1154766806",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Licking, MO

Sources for this page

Verify at the official NPI Registry.