Individual provider Active NPI

Arlette J Back, LPC

  • Professional Counselor
  • Amarillo, TX
National Provider Identifier
1174012835
Registry record updated Mar 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
72934 Issued in TX
Practice address
1600 S Coulter St Ste 100
Amarillo, TX 79106-1744
Phone
(806) 680-6651
NPI assigned
May 8, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 72934 TX Primary

Addresses

Primary practice location

1600 S Coulter St Ste 100
Amarillo, TX 79106-1744

Mailing address

1600 S Coulter St Ste 100
Amarillo, TX 79106-1744
Phone (806) 680-6651

Other identifiers 1

IdentifierTypeStateIssuer
387183201MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20240209002914 TX Practitioner - Mental Health Counselor 2961845581 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1600 S Coulter St
Suite 100
Amarillo, TX 79106-1744
Phone (806) 680-6651

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Arlette J Back PLLC Professional CurrentSince Jan 1, 2024 Accepting new patients
Teladoc Health Medical Group, P.a. Professional Current Accepting new patients

Locations

1600 S Coulter St
Ste 100
Amarillo, TX 79106
Phone (806) 359-5874

Interoperability endpoints

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

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1525737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741392000000",
    "number": "1174012835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 S COULTER ST STE 100",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061744",
            "telephone_number": "806-680-6651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 S COULTER ST STE 100",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061744",
            "telephone_number": "806-680-6651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACK",
        "first_name": "ARLETTE",
        "middle_name": "J",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-08",
        "last_updated": "2025-03-08",
        "certification_date": "2025-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "72934",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "387183201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.