Individual provider Active NPI

Jason John Ribbing, MS LPC

  • Professional Counselor
  • Morrilton, AR
National Provider Identifier
1982788139
Registry record updated Jan 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
P0707034 Issued in AR
Practice address
8 Hospital Drive
Morrilton, AR 72110
Phone
(501) 354-1561
Fax
(501) 354-1564
NPI assigned
Oct 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X P0707034 AR Primary

Addresses

Primary practice location

8 Hospital Drive
Morrilton, AR 72110

Mailing address

505 Amity Rd
Ste 605
Conway, AR 72032-5964
Phone (501) 205-0253

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
P0707034ARMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327536000000",
    "number": "1982788139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 AMITY RD",
            "address_2": "STE 605",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720325964",
            "telephone_number": "501-205-0253",
            "fax_number": "501-205-0253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 HOSPITAL DRIVE",
            "city": "MORRILTON",
            "state": "AR",
            "postal_code": "72110",
            "telephone_number": "501-354-1561",
            "fax_number": "501-354-1564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIBBING",
        "first_name": "JASON",
        "middle_name": "JOHN",
        "credential": "MS LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2012-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P0707034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morrilton, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2012; 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.