Aresh Assadi – Mental Health Counselor

Key facts

NPI: 1528290020
Entity type: Individual (NPI type 1)
Primary specialty: Mental Health Counselor 101YM0800X
License: A0907077 (AR)
Practice address: 1609 Pine St
Arkadelphia, AR 71923-4428
Phone: (870) 246-2361
NPI assigned: Aug 17, 2009
Sex: Male
Sole proprietor: No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

TFS Incorpated Community/Behavioral Health Agency · Arkadelphia, AR · NPI 1285873588

NPD (past)
TFS of Gurdon Inc Community/Behavioral Health Agency · Malvern, AR · NPI 1639180805

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
A0907077	AR	MD	Mental Health Counselor

Practice roles

Organization	Specialty	Status	New patients
TFS Incorpated		Past	Accepting new patients
TFS of Gurdon Inc		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Mental Health Counselor	101YM0800X	A0907077	AR	Yes

Addresses

Primary practice location

1609 Pine St
Arkadelphia, AR 71923-4428

Mailing address

1609 Pine St
Arkadelphia, AR 71923-4428
Phone (870) 246-2361

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 17, 2009.

{
    "created_epoch": "1250467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250467200000",
    "number": "1528290020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1609 PINE ST",
            "city": "ARKADELPHIA",
            "state": "AR",
            "postal_code": "719234428",
            "telephone_number": "870-246-2361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1609 PINE ST",
            "city": "ARKADELPHIA",
            "state": "AR",
            "postal_code": "719234428",
            "telephone_number": "870-246-2361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASSADI",
        "first_name": "ARESH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-17",
        "last_updated": "2009-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "A0907077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arkadelphia, AR

All providers in Arkadelphia, AR · Mental Health Counselor in Arkansas

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 17, 2009. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.