Organization Active NPI

Maxus Inc

Doing business as Arkansas Counseling Associates

  • Mental Health Counselor
  • Russellville, AR
National Provider Identifier
1306961495
Registry record updated May 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MAXUS INC
Doing business as
Arkansas Counseling Associates
Practice address
1310 W Main Street, Suite 100
Russellville, AR 72801
Phone
(479) 498-4423
Fax
(479) 498-4425
NPI assigned
Mar 20, 2007
Last updated
May 20, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2014

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

Authorized official

Name
Mr. Ted Suhl
Title
Ceo
Phone
(870) 647-1400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X AR Primary

Addresses

Primary practice location

1310 W Main Street, Suite 100
Russellville, AR 72801

Mailing address

1033 Old Burr Road
Warm Springs, AR 72478
Phone (870) 647-1400

Other names 1

  • Arkansas Counseling Associates Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Arkansas Counseling Associates6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400544000000",
    "number": "1306961495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1033 OLD BURR ROAD",
            "city": "WARM SPRINGS",
            "state": "AR",
            "postal_code": "72478",
            "telephone_number": "870-647-1400",
            "fax_number": "870-647-2337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 W MAIN STREET, SUITE 100",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "72801",
            "telephone_number": "479-498-4423",
            "fax_number": "479-498-4425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXUS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2014-05-20",
        "status": "A",
        "authorized_official_last_name": "SUHL",
        "authorized_official_first_name": "TED",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "870-647-1400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arkansas Counseling Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Russellville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.