Active NPI
Audrey Kathryn Dobbins, LPC
- Professional Counselor
- Jonesboro, AR
National Provider Identifier
1841426103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- P1304042
- Practice address
- 262 Southwest Dr
Jonesboro, AR 72401-5829 - Phone
- (870) 203-6100
- Fax
- (800) 421-5290
- NPI assigned
- Jun 1, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | P1304042 | AR | Primary |
Addresses
Primary practice location
262 Southwest Dr
Jonesboro, AR 72401-5829
Mailing address
262 Southwest Dr
Jonesboro, AR 72401-5829
Phone (870) 203-6100
Other practice location 1
1101 Morgan Street
Suite 8
Paragould, AR 72450-3949
Phone (870) 335-9483
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 177060795 | Medicaid | AR | |
| 5TT93 | Other | AR | BCBS |
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 |
|---|---|---|---|
| P1304042 | AR | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Families, Inc. of Arkansas | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Paragould, AR
- NPI 1386728681
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561420800000",
"number": "1841426103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "262 SOUTHWEST DR",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724015829",
"telephone_number": "870-203-6100",
"fax_number": "800-421-5290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "262 SOUTHWEST DR",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724015829",
"telephone_number": "870-203-6100",
"fax_number": "800-421-5290"
}
],
"practiceLocations": [
{
"address_1": "1101 Morgan Street",
"address_2": "Suite 8",
"address_purpose": "LOCATION",
"city": "Paragould",
"state": "AR",
"postal_code": "724503949",
"country_code": "US",
"telephone_number": "870-335-9483",
"fax_number": "870-335-9487",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DOBBINS",
"first_name": "AUDREY",
"middle_name": "KATHRYN",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-01",
"last_updated": "2019-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AR",
"license": "P1304042",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "177060795",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "5TT93",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}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 Jun 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.