Justin Prentis Arnold, MAMFC, LPC-S

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

68187 Issued in TX

Practice address

2137 George Richey Rd
Longview, TX 75604-9732

Phone

(903) 759-5552

NPI assigned

May 22, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1590105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590105600000",
    "number": "1437772613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 TIMBER FALLS DR",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756058288",
            "telephone_number": "469-279-5551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2137 GEORGE RICHEY RD",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756049732",
            "telephone_number": "903-759-5552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARNOLD",
        "first_name": "JUSTIN",
        "middle_name": "PRENTIS",
        "credential": "MAMFC, LPC-S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-05-22",
        "last_updated": "2020-05-22",
        "certification_date": "2020-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "68187",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "68187",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "68187",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "68187",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS STATE BOARD OF EXAMINERS OF PROFESSIONAL COUNSELORS",
            "identifier": "68187",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Josue Arcibar, LPC
• Johanna Pool Ardoin, FNP-BC
• Ariadna L. Bory D.O. PA
• Philip Wayland Armour, LPC, LMFT
• Cynthia Moody Armstrong, M.S., CCC-SLP
• Kinsey Arnold, FNP-C
• Lauren Arnold, P.T.
• Sarah Ann Arriaga, FNP-BC
• Artemis in the City, LLC
• Suganya Arunachalam Karikalan

• Professional Counselor in Longview, TX
• Providers in Longview, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2020; 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.