Connections Counseling and Consulting LLC

Key facts

NPI

1013759992

Entity type

Organization (NPI type 2)

Primary specialty

Mental Health Counselor 101YM0800X

Legal business name

CONNECTIONS COUNSELING AND CONSULTING LLC

Practice address

4236 N Verrado Way # A101
Buckeye, AZ 85396-7594

Phone

(480) 229-2315

NPI assigned

Jun 11, 2024

Organization subpart

No

Authorized official

Name

Carol Dickinson NPI 1235983594

Title

Owner

Phone

(480) 229-2315

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carol A. Dickinson, LPC Mental Health Counselor · Buckeye, AZ · NPI 1235983594
  Medicare reassignment Care Compare group NPD Authorized official AZ · MENTAL HEALTH
• Crystal N White, MHCA Mental Health Counselor · Goodyear, AZ · NPI 1285150904
  Medicare reassignment Care Compare group NPD AZ · MENTAL HEALTH

Medicare participation

Medicare fee-for-service enrollment

Enrolled in AZ

Medicare enrollment records

National Provider Directory

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 11, 2024.

{
    "created_epoch": "1718064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718064000000",
    "number": "1013759992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20481 W LEGEND TRL",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853961751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4236 N VERRADO WAY # A101",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853967594",
            "telephone_number": "480-229-2315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTIONS COUNSELING AND CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-11",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A",
        "authorized_official_last_name": "DICKINSON",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-229-2315"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Buckeye, AZ · Mental Health Counselor in Arizona