MR. GARY D MCDOUGAL CADC PRPS NPI 1942895388

NPI Information

  • NPI: 1942895388
  • Provider Name: MR. GARY D MCDOUGAL, CADC, PRPS
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 614 N MARTIN ST
    WARREN, AR
    ZIP 71671
  • Phone: (870) 489-7903

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NPI Details

MR. Gary D Mcdougal, CADC, PRPS is an addiction (substance use disorder) counselor in Warren, AR. MR. Gary D Mcdougal, CADC, PRPS NPI is 1942895388. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

614 N MARTIN ST
WARREN, AR
ZIP 71671-904
Phone: (870) 489-7903

The enumeration date for this NPI number is 3/8/2021 and was last updated on 3/8/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)1690ARKANSASYes
2175T00000XPeer Specialist034ARKANSASNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1232607795MEDICAIDARKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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