MEDICARE: DR. JOHN H ARNOLD JR. LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	LPC-12205	AZ
2	101YM0800X	Mental Health Counselor	MH 7024	FL
3	101YM0800X	Mental Health Counselor	0090071	NM

General Provider Information

NPI Number	:	1447282793
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN H ARNOLD JR. LPC

Provider Business Mailing Address
First Line	:	420 CATAMARAN DR
Second Line	:	#99
City	:	MERRITT ISLAND
State	:	FL
Zip	:	32952-3555
Country	:	US
Telephone Number	:	321-452-1285
Fax Number	:	321-452-1285

Provider Business Practice Location Address
First Line	:	420 CATAMARAN DR
Second Line	:	#99
City	:	MERRITT ISLAND
State	:	FL
Zip	:	32952-3555
Country	:	US
Telephone Number	:	321-452-1285
Fax Number	:	321-452-1285

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/07/2006
Last Update Date	:	07/05/2026

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