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MR. GARY D MCDOUGAL II CADC, PRPS
NPI 1942895388
Counselor - Addiction (Substance Use Disorder) in Warren, AR

Active since March 08, 2021
614 N MARTIN ST, WARREN, AR 71671(870) 489-7903 Get Directions Write a Review

NPPES record last updated: March 8, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Gary D Mcdougal Ii Cadc, Prps NPPES

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

MR. GARY D MCDOUGAL II CADC, PRPS (NPI 1942895388) is an individual addiction (substance use disorder) provider in Warren, Arkansas, licensed in Arkansas (1690) and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1942895388
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. GARY D MCDOUGAL IICredential: CADC, PRPS
Location Address614 N MARTIN STWarren, AR 71671-1904
Mailing AddressGary Mcdougal, 5029 Alexander Rd.Pine Bluff, AR 71603 · (870) 489-7903
Phone(870) 489-7903
Sole ProprietorYes
Enumeration DateMarch 8, 2021
NPPES CertifiedFebruary 23, 2021
✔ NPI 1942895388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in AR · 1690
Also ListedPeer SpecialistTaxonomy 175T00000X · License 034 (AR)
614 N MARTIN ST, Warren, AR 71671
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Other Identifiers 1

Medicaid232607795AR

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

MS. MARIE RUTH JENKINS LCSW
Social Worker (Clinical)
614 N MARTIN ST
WARREN, AR 71671
Bradley County (870) 466-4400
HARTON MEDICAL CLINIC PLLC PA
Family Medicine
614 N MARTIN ST
WARREN, AR 71671
Bradley County (870) 226-6580
ROGER ALAN MASON M.D.
Surgery
614 N MARTIN ST
WARREN, AR 71671
Bradley County (870) 466-4400

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 Gary Mcdougal's NPI number?

The NPI number for Gary Mcdougal is 1942895388. It was assigned to this individual provider in the NPPES registry on March 8, 2021.

Where is Gary Mcdougal located?

Gary Mcdougal practices at 614 N Martin St, Warren, AR 71671. The listed phone number is (870) 489-7903.

What is Gary Mcdougal's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Gary Mcdougal was last updated on March 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.