Active NPI
Marcus Sanchez, LAC
- Counselor
- Arkadelphia, AR
National Provider Identifier
1215413695
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 2607 Caddo St
Arkadelphia, AR 71923-5307 - Phone
- (870) 230-8217
- NPI assigned
- Jul 18, 2018
- Last updated
- Oct 15, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | AR | Primary |
Addresses
Primary practice location
2607 Caddo St
Arkadelphia, AR 71923-5307
Mailing address
2607 Caddo St
Arkadelphia, AR 71923-5307
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 228244795 | Medicaid | AR | |
| A1908000 | Other | AR | AR STATE BOARD LICENSING |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571097600000",
"number": "1215413695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2607 CADDO ST",
"city": "ARKADELPHIA",
"state": "AR",
"postal_code": "719235307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2607 CADDO ST",
"city": "ARKADELPHIA",
"state": "AR",
"postal_code": "719235307",
"telephone_number": "870-230-8217"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANCHEZ",
"first_name": "MARCUS",
"credential": "LAC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-07-18",
"last_updated": "2019-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "AR",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "228244795",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AR STATE BOARD LICENSING",
"identifier": "A1908000",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Arkadelphia, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.