Individual provider Active NPI

Clinton Ryan Limoges, LPC

  • Mental Health Counselor
  • Little Rock, AR
National Provider Identifier
1376522433
Registry record updated Jan 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
P0705019 Issued in AR
Practice address
11321 I-30
Suite 104
Little Rock, AR 72209-7040
Phone
(501) 202-7587
Fax
(501) 202-6683
NPI assigned
Jan 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X P0705019 AR Primary

Addresses

Primary practice location

11321 I-30
Suite 104
Little Rock, AR 72209-7040

Mailing address

11321 I-30
Suite 104
Little Rock, AR 72209-7040
Phone (501) 202-7587

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

LicenseStateTypeSpecialty
P0705019ARMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1137369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294272000000",
    "number": "1376522433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11321 I-30",
            "address_2": "SUITE 104",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722097040",
            "telephone_number": "501-202-7587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11321 I-30",
            "address_2": "SUITE 104",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722097040",
            "telephone_number": "501-202-7587",
            "fax_number": "501-202-6683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIMOGES",
        "first_name": "CLINTON",
        "middle_name": "RYAN",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-16",
        "last_updated": "2011-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "P0705019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2011; 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.