Organization Active NPI

Gold Canyon Counseling

  • Community/Behavioral Health Agency
  • Gold Canyon, AZ
National Provider Identifier
1013278480
Registry record updated Jun 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
178-000738 Issued in IL
Legal business name
GOLD CANYON COUNSELING
Practice address
5810 S Alameda Rd
Gold Canyon, AZ 85118-6823
Phone
(480) 993-6514
NPI assigned
Jun 1, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Elizabeth Ann Gioia, PHD
Title
Ceo
Phone
(480) 993-6514

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 178-000738 IL Primary

Addresses

Primary practice location

5810 S Alameda Rd
Gold Canyon, AZ 85118-6823

Mailing address

10636 E Dutchmans TRL
Gold Canyon, AZ 85118-4918
Phone (480) 993-6514

Other names 1

  • Pure Intelligence, Inc. Former legal business name

National Provider Directory

National Provider Directory

Locations

5810 S Alameda Rd
Gold Canyon, AZ 85118
Phone (480) 993-6514

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1338508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338508800000",
    "number": "1013278480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10636 E DUTCHMANS TRL",
            "city": "GOLD CANYON",
            "state": "AZ",
            "postal_code": "851184918",
            "telephone_number": "480-993-6514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5810 S ALAMEDA RD",
            "city": "GOLD CANYON",
            "state": "AZ",
            "postal_code": "851186823",
            "telephone_number": "480-993-6514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLD CANYON COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-01",
        "last_updated": "2012-06-01",
        "status": "A",
        "authorized_official_last_name": "GIOIA",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-993-6514",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "178-000738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pure Intelligence, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Gold Canyon, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.