Active NPI
Jason Amerson
- Counselor
- Mulberry, AR
National Provider Identifier
1811134653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- A1501013
- Practice address
- 949 N Main St
Mulberry, AR 72947-8538 - Phone
- (479) 452-5040
- Fax
- (479) 452-5047
- NPI assigned
- Jan 15, 2009
- Last updated
- Jan 29, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | A1501013 | AR | Primary |
| Case Manager/Care Coordinator | 171M00000X | NU |
Addresses
Primary practice location
949 N Main St
Mulberry, AR 72947-8538
Mailing address
PO Box 23070
Barling, AR 72923
Phone (479) 452-5040
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
| License | State | Type | Specialty |
|---|---|---|---|
| A1501013 | AR | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422489600000",
"number": "1811134653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 23070",
"city": "BARLING",
"state": "AR",
"postal_code": "72923",
"telephone_number": "479-452-5040",
"fax_number": "479-452-5047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "949 N MAIN ST",
"city": "MULBERRY",
"state": "AR",
"postal_code": "729478538",
"telephone_number": "479-452-5040",
"fax_number": "479-452-5047"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMERSON",
"first_name": "JASON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-01-15",
"last_updated": "2015-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "AR",
"license": "A1501013",
"primary": true
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mulberry, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.