Active NPI
Clinton Ryan Limoges, LPC
- Mental Health Counselor
- Little Rock, AR
National Provider Identifier
1376522433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- P0705019
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| P0705019 | AR | MD | Mental 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.