Active NPI
Lota M. Hardin, LPC
- Professional Counselor
- Malvern, AR
National Provider Identifier
1194703389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- P0512068
- Practice address
- 1615 Martin Luther King Blvd
Malvern, AR 72104-2233 - Phone
- (501) 332-5236
- Fax
- (501) 620-5109
- NPI assigned
- Jan 6, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | P0512068 | AR | Primary |
Addresses
Primary practice location
1615 Martin Luther King Blvd
Malvern, AR 72104-2233
Mailing address
125 Dons Way
Hot Springs, AR 71913
Phone (501) 620-5130
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194703389 | Other | NOVASYS | |
| 2274504 | Other | AR | CIGNA BEHAVIORAH HEALTH |
| 990371 | Other | AR | USA MANAGED CARE |
| 1194703389 | Other | TRICARE | |
| 830935000 | Other | AR | MAGELLAN |
| 1194703389 | Other | VALUE OPTIONS | |
| 374544 | Other | AR | MHN |
| 116399726 | Medicaid | AR | |
| 06010017000 | Other | AR | QUAL-CHOICE |
| 1194703389 | Other | UNITY MGED MENTAL HEALTH | |
| 71-0401764 | Other | AR | CORPHEALTH |
| 5Y664 | Other | AR | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P0512068 | AR | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1229644800000",
"number": "1194703389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 DONS WAY",
"city": "HOT SPRINGS",
"state": "AR",
"postal_code": "71913",
"telephone_number": "501-620-5130",
"fax_number": "501-620-5109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1615 MARTIN LUTHER KING BLVD",
"city": "MALVERN",
"state": "AR",
"postal_code": "721042233",
"telephone_number": "501-332-5236",
"fax_number": "501-620-5109"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARDIN",
"first_name": "LOTA",
"middle_name": "M.",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-06",
"last_updated": "2008-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AR",
"license": "P0512068",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NOVASYS",
"identifier": "1194703389",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA BEHAVIORAH HEALTH",
"identifier": "2274504",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "USA MANAGED CARE",
"identifier": "990371",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "1194703389",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "830935000",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "1194703389",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN",
"identifier": "374544",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "116399726",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "QUAL-CHOICE",
"identifier": "06010017000",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITY MGED MENTAL HEALTH",
"identifier": "1194703389",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CORPHEALTH",
"identifier": "71-0401764",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "5Y664",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Malvern, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.