Organization Active NPI

Arlette J Back PLLC

  • Professional Counselor
  • Amarillo, TX
National Provider Identifier
1619738390
Registry record updated Mar 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
ARLETTE J BACK PLLC
Practice address
1600 S Coulter St Ste 100
Amarillo, TX 79106-1744
Phone
(806) 680-6651
NPI assigned
Jan 19, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2025

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

Authorized official

Name
Arlette J Back, LPCNPI 1174012835
Title
Owner
Phone
(806) 680-6651

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

1600 S Coulter St Ste 100
Amarillo, TX 79106-1744

Mailing address

1600 S Coulter St Ste 100
Amarillo, TX 79106-1744
Phone (806) 680-6651

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240130001483 TX Part B Supplier - Clinic/Group Practice 3375996093 Receives reassigned benefits from 1 practitioner
Practice locations: Amarillo, TX

National Provider Directory

National Provider Directory

Locations

1600 S Coulter St
Ste 100
Amarillo, TX 79106
Phone (806) 359-5874

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1705622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741392000000",
    "number": "1619738390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 S COULTER ST STE 100",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061744",
            "telephone_number": "806-680-6651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 S COULTER ST STE 100",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061744",
            "telephone_number": "806-680-6651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARLETTE J BACK PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-19",
        "last_updated": "2025-03-08",
        "certification_date": "2025-03-08",
        "status": "A",
        "authorized_official_last_name": "BACK",
        "authorized_official_first_name": "ARLETTE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "806-680-6651",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.