NPIMap

Organization Active NPI

Richard Hoffman

Doing business as Christian Counseling Associates of Arkansas

  • Professional Counselor
  • Jonesboro, AR
National Provider Identifier
1801643390
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
RICHARD HOFFMAN
Doing business as
Christian Counseling Associates of Arkansas
Practice address
3411 Southwest Dr Ste 7
Jonesboro, AR 72404-9090
Phone
(724) 396-1510
Fax
(724) 972-4627
NPI assigned
May 2, 2024
Last updated
May 23, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
RICHARD HOFFMANAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 23, 2024

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

Authorized official

Name
Richard Hoffman, PHDNPI 1538222534
Title
Clinical Director
Phone
(724) 396-1510

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 Counselor 101YP2500X NU Primary

Addresses

Primary practice location

3411 Southwest Dr Ste 7
Jonesboro, AR 72404-9090

Mailing address

101 Pembroke CT
Greensburg, PA 15601-6404
Phone (724) 396-1510

Other names 1

  • Christian Counseling Associates of Arkansas Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240709001670 AR Part B Supplier - Clinic/Group Practice 7618137522 Receives reassigned benefits from 1 practitioner
Practice locations: Jonesboro, AR

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

  • Richard Hoffman

    dba Christian Counseling Associates of Eastern Ohio

    • Professional Counselor
    • Greensburg, PA
    • NPI 1356583066

    7618137522

    Same PAC ID
  • Richard Hoffman

    dba Christian Counseling Associates of Eastern Ohio

    • Professional Counselor
    • Wintersville, OH
    • NPI 1457835928

    7618137522

    Same PAC ID
  • Richard Hoffman

    dba Christian Counseling Associates West Virginia

    • Professional Counselor
    • Moundsville, WV
    • NPI 1891262036

    7618137522

    Same PAC ID

National Provider Directory

National Provider Directory
Tax ID family
Christian Counseling Associates of Western Pennsylvania26 organizations share this tax ID, including this one
Part of
Christian Counseling Associates of Western Pennsylvania

Other organizations with this tax ID 25

Organizations that report the same tax identification number in the National Provider Directory.

View all 25

Locations

3411 Southwest Dr
Ste 7
Jonesboro, AR 72404
Phone (870) 464-3350

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1714608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716422400000",
    "number": "1801643390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 PEMBROKE CT",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156016404",
            "telephone_number": "724-396-1510",
            "fax_number": "724-972-4627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3411 SOUTHWEST DR STE 7",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724049090",
            "telephone_number": "724-396-1510",
            "fax_number": "724-972-4627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD HOFFMAN",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RICHARD HOFFMAN",
        "enumeration_date": "2024-05-02",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A",
        "authorized_official_last_name": "HOFFMAN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "724-396-1510",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Christian Counseling Associates of Arkansas",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Christian Counseling Associates of Arkansas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jonesboro, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2024; 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.