Active NPI
Craig Kent Dalton, L.P.C.
- Professional Counselor
- Gilbert, AZ
National Provider Identifier
1023498755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC-17854
- 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, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| LPC-17854 | AZ | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Total Life QC PLLC | Current | 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.
-
dba Total Life Counseling
- Mental Health Clinic/Center (Including Community Mental Health Center)
- San Tan Valley, AZ
- NPI 1558994202
-
- Mental Health Counselor
- Gilbert, AZ
- NPI 1245521053
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.