Individual provider Active NPI

Johnson Kofi Kofi Prah Arloo, M.S., LPC

  • Addiction (Substance Use Disorder) Counselor
  • Huntsville, AL
National Provider Identifier
1619644812
Registry record updated Aug 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
4015 Issued in AL
Practice address
4040 Independence Dr NW
Huntsville, AL 35816-3012
Phone
(256) 721-1940
NPI assigned
Aug 25, 2021
Last updated
Aug 25, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 4015 AL Primary

Addresses

Primary practice location

4040 Independence Dr NW
Huntsville, AL 35816-3012

Mailing address

4040 Independence Dr NW
Huntsville, AL 35816-3012
Phone (256) 721-1940

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240110003377 AL Practitioner - Mental Health Counselor 6608227020 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
4015ALMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral & Substance Abuse Counseling LLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

165 Chestnut Dr
Ste C
Madison, AL 35758
Phone (615) 777-9303

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1629849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629849600000",
    "number": "1619644812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4040 INDEPENDENCE DR NW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358163012",
            "telephone_number": "256-721-1940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4040 INDEPENDENCE DR NW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358163012",
            "telephone_number": "256-721-1940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARLOO",
        "first_name": "JOHNSON KOFI",
        "middle_name": "KOFI PRAH",
        "name_prefix": "Mr.",
        "credential": "M.S., LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-25",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AL",
            "license": "4015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.