Healthcare Provider Details

I. General information

NPI: 1609094747
Provider Name (Legal Business Name): ASHER M PIMPLETON-GRAY LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/23/2007
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

309 TONI ANN DR
JONESBORO AR
72405-8477
US

IV. Provider business mailing address

309 TONI ANN DR
JONESBORO AR
72405-8477
US

V. Phone/Fax

Practice location:
  • Phone: 616-334-9848
  • Fax:
Mailing address:
  • Phone: 616-334-9848
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberP1602022
License Number StateAR
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateMI
# 3
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: