Active NPI
Jorja Katherine Gladden
- Professional Counselor
- Hot Springs, AR
National Provider Identifier
1316924137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- P0305020
- Practice address
- 125 Dons Way
Hot Springs, AR 71913 - Phone
- (501) 624-7111
- Fax
- (501) 620-5109
- NPI assigned
- Dec 22, 2005
- 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 | P0305020 | AR | Primary |
Addresses
Primary practice location
125 Dons Way
Hot Springs, AR 71913
Mailing address
125 Dons Way
Hot Springs, AR 71913
Phone (501) 620-5130
Other identifiers 15
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 71-0401764 | Other | AR | CORPHEALTH |
| 710401764GLA | Other | AR | UNITY MANAGED MH CO. |
| 116399726 | Medicaid | AR | |
| 230308 | Other | AR | COMPSYCH |
| 5X370 | Other | AR | BLUE CROSS & BLUE SHIELD |
| 926010 | Other | AR | USA MANAGED CARE |
| 244949 | Other | AR | MHN NETWORK |
| 1316924137 | Other | AR | NOVA SYSTEM |
| 1316924137 | Other | AR | TRICARE |
| 2187549 | Other | AR | CIGNA BEHAVIORAL HEALTH |
| 576115 | Other | AR | VALUE OPTIONS |
| MIS 718462000 | Other | AR | MAGELLAN |
| 3090013600 | Other | AR | QUAL-CHOICE |
| 60054 | Other | AR | AETNA |
| 710401764 | Other | AR | MHNET |
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 |
|---|---|---|---|
| P0305020 | AR | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1229644800000",
"number": "1316924137",
"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": "125 DONS WAY",
"city": "HOT SPRINGS",
"state": "AR",
"postal_code": "71913",
"telephone_number": "501-624-7111",
"fax_number": "501-620-5109"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLADDEN",
"first_name": "JORJA",
"middle_name": "KATHERINE",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-22",
"last_updated": "2008-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AR",
"license": "P0305020",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CORPHEALTH",
"identifier": "71-0401764",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITY MANAGED MH CO.",
"identifier": "710401764GLA",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "116399726",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMPSYCH",
"identifier": "230308",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS & BLUE SHIELD",
"identifier": "5X370",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "USA MANAGED CARE",
"identifier": "926010",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN NETWORK",
"identifier": "244949",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NOVA SYSTEM",
"identifier": "1316924137",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "1316924137",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA BEHAVIORAL HEALTH",
"identifier": "2187549",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "576115",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "MIS 718462000",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "QUAL-CHOICE",
"identifier": "3090013600",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "60054",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHNET",
"identifier": "710401764",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hot Springs, 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.