Organization Active NPI

Maxus Inc

Doing business as Arkansas Counseling Associates

  • Mental Health Counselor
  • Pocahontas, AR
National Provider Identifier
1417075912
Registry record updated Jul 30, 2013
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
1878 Highway 62 W
Pocahontas, AR 72455-3639
Phone
(870) 248-0660
Fax
(870) 248-0321
NPI assigned
Mar 26, 2007
Last updated
Jul 30, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2013

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

Authorized official

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

Specialties & licenses 1

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

Addresses

Primary practice location

1878 Highway 62 W
Pocahontas, AR 72455-3639

Mailing address

1033 Old Burr Rd
Warm Springs, AR 72478-9077
Phone (870) 647-1400

Other names 1

  • Arkansas Counseling Associates Doing business as

National Provider Directory

National Provider Directory

Locations

1878 Highway 62 W
Pocahontas, AR 72455
Phone (870) 248-0660

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375142400000",
    "number": "1417075912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1033 OLD BURR RD",
            "city": "WARM SPRINGS",
            "state": "AR",
            "postal_code": "724789077",
            "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": "1878 HIGHWAY 62 W",
            "city": "POCAHONTAS",
            "state": "AR",
            "postal_code": "724553639",
            "telephone_number": "870-248-0660",
            "fax_number": "870-248-0321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXUS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2013-07-30",
        "status": "A",
        "authorized_official_last_name": "SHUL",
        "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 Pocahontas, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2013; 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.