Individual provider Active NPI

Arnold Ray Hider, SOCIAL WORKER

  • Mental Health Counselor
  • Dallas, TX
National Provider Identifier
1457575821
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
00407 Issued in TX
Practice address
933 Glen Oaks Blvd
Dallas, TX 75232-2500
Phone
(214) 374-2920
Fax
(214) 375-6527
NPI assigned
Apr 13, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 00407 TX Primary

Addresses

Primary practice location

933 Glen Oaks Blvd
Dallas, TX 75232-2500

Mailing address

933 Glen Oaks Blvd
Dallas, TX 75232-2500
Phone (214) 374-2920

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
00407TXMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457575821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "933 GLEN OAKS BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752322500",
            "telephone_number": "214-374-2920",
            "fax_number": "214-375-6527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "933 GLEN OAKS BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752322500",
            "telephone_number": "214-374-2920",
            "fax_number": "214-375-6527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIDER",
        "first_name": "ARNOLD",
        "middle_name": "RAY",
        "credential": "SOCIAL WORKER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "00407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.