GLEN EDGAR MELDAHL LPC
NPI 1790064624
Counselor - Mental Health in Jacksonville, AR

Active since August 09, 2011
2126 N 1ST STREET, SUITE F, JACKSONVILLE, AR 72076(501) 982-5000(501) 982-5007 Get Directions Write a Review

NPPES record last updated: November 10, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Glen Edgar Meldahl Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GLEN EDGAR MELDAHL LPC (NPI 1790064624) is an individual mental health provider in Jacksonville, Arkansas, licensed in Arkansas (P9503006) and active in the NPI registry since August 2011.

NPPES Registry Identity

NPI1790064624
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameGLEN EDGAR MELDAHLCredential: LPC
Location Address2126 N 1ST STREET, SUITE FJacksonville, AR 72076-2868
Mailing Address1815 Pleasant Grove RdJonesboro, AR 72401-7870 · (870) 933-6886 · Fax (870) 933-9395
Fax(501) 982-5007
Sole ProprietorNo
Enumeration DateAugust 9, 2011
Last NPPES UpdateNovember 10, 2016
NPI 1790064624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in AR · P9503006
2126 N 1ST STREET, Jacksonville, AR 72076

Other Identifiers 2

Medicaid187842795AR
Other5T153AR · Bcbs

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Professional)
2126 N 1ST STREET, SUITE F
JACKSONVILLE, AR 72076
Counselor
2126 N 1ST STREET, SUITE F
JACKSONVILLE, AR 72076
Case Manager/Care Coordinator
2126 N 1ST STREET, SUITE F
JACKSONVILLE, AR 72076
Counselor
2126 N 1ST STREET, STE F
JACKSONVILLE, AR 72076
Social Worker
2126 N 1ST STREET, SUITE F
JACKSONVILLE, AR 72076
Case Manager/Care Coordinator
2126 N 1ST STREET, SUITE F
JACKSONVILLE, AR 72076
Counselor (Professional)
2126 N 1ST STREET, SUITE F
JACKSONVILLE, AR 72076
Counselor (Professional)
2126 N 1ST STREET, SUITE F
JACKSONVILLE, AR 72076

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Glen Meldahl's NPI number?

The NPI number for Glen Meldahl is 1790064624. It was assigned to this individual provider in the NPPES registry on August 9, 2011.

Where is Glen Meldahl located?

Glen Meldahl practices at 2126 N 1st Street Suite F, Jacksonville, AR 72076. The listed phone number is (501) 982-5000.

What is Glen Meldahl's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Glen Meldahl was last updated on November 10, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.