Michael Dustin Arnold, MA, NCC, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

010540 Issued in GA

Practice address

709 Blackshear Hwy Ste C
Baxley, GA 31513-8870

Phone

(912) 937-0676

NPI assigned

Aug 8, 2016

Last updated

Oct 8, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dusty Arnold Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1470614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633651200000",
    "number": "1831643808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 PINEVIEW AVE",
            "city": "BAXLEY",
            "state": "GA",
            "postal_code": "315134484",
            "telephone_number": "912-282-0992",
            "fax_number": "912-285-8817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 BLACKSHEAR HWY STE C",
            "city": "BAXLEY",
            "state": "GA",
            "postal_code": "315138870",
            "telephone_number": "912-937-0676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARNOLD",
        "first_name": "MICHAEL",
        "middle_name": "DUSTIN",
        "credential": "MA, NCC, LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-08",
        "last_updated": "2021-10-08",
        "certification_date": "2021-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "010540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DUSTY",
            "last_name": "ARNOLD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Professional Counselor in Baxley, GA
• Providers in Baxley, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.