Individual provider Active NPI

Craig Kent Dalton, L.P.C.

  • Professional Counselor
  • Gilbert, AZ
National Provider Identifier
1023498755
Registry record updated Aug 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-17854 Issued in AZ
Practice address
690 E Warner Rd Ste 115
Gilbert, AZ 85296-3056
Phone
(480) 444-2434
NPI assigned
Jun 8, 2015
Last updated
Aug 28, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X
Professional Counselor 101YP2500X LPC-17854 AZ Primary

Addresses

Primary practice location

690 E Warner Rd Ste 115
Gilbert, AZ 85296-3056

Mailing address

36275 N Gantzel Rd
102
San Tan Valley, AZ 85140-7320
Phone (480) 590-7147

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LPC-17854AZMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Total Life QC PLLC CurrentSince Aug 9, 2020 Accepting new patients
Total Life Counseling PLLC Past Accepting new patients

Locations

36275 N Gantzel Rd
Ste 102
San Tan Valley, AZ 85140
Phone (480) 444-2434

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1433721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1023498755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36275 N GANTZEL RD",
            "address_2": "102",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851407320",
            "telephone_number": "480-590-7147",
            "fax_number": "480-590-3495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 E WARNER RD STE 115",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852963056",
            "telephone_number": "480-444-2434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALTON",
        "first_name": "CRAIG",
        "middle_name": "KENT",
        "credential": "L.P.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-08",
        "last_updated": "2023-08-28",
        "certification_date": "2020-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-17854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; 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.