Anna Karen Arwine, LPC

Key facts

NPI

1356910079

Entity type

Individual (NPI type 1)

Primary specialty

Professional Counselor 101YP2500X

License

74694 (TX)

Practice address

4853 Big Bear Cir
Keller, TX 76244-2298

Phone

(817) 851-6515

NPI assigned

Jun 18, 2021

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 18, 2021.

{
    "created_epoch": "1623974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623974400000",
    "number": "1356910079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4853 BIG BEAR CIR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762442298",
            "telephone_number": "817-851-6515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4853 BIG BEAR CIR",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762442298",
            "telephone_number": "817-851-6515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARWINE",
        "first_name": "ANNA",
        "middle_name": "KAREN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-18",
        "last_updated": "2021-06-18",
        "certification_date": "2021-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "74694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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