Professional Counseling Services, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC0410 Issued in AZ

Legal business name

PROFESSIONAL COUNSELING SERVICES, LLC

Practice address

8183 E Florentine Rd
Suite B
Prescott Valley, AZ 86314-8454

Phone

(928) 772-3499

Fax

(928) 772-3491

NPI assigned

Jan 16, 2009

Last updated

Jan 16, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Johanna Gabriel Burton, M.A.

Title

Licensed Professional Counselor

Phone

(928) 772-3499

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1232064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232064000000",
    "number": "1033356738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27949",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863127949",
            "telephone_number": "928-772-3499",
            "fax_number": "928-772-3491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8183 E FLORENTINE RD",
            "address_2": "SUITE B",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863148454",
            "telephone_number": "928-772-3499",
            "fax_number": "928-772-3491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-16",
        "last_updated": "2009-01-16",
        "status": "A",
        "authorized_official_last_name": "BURTON",
        "authorized_official_first_name": "JOHANNA",
        "authorized_official_middle_name": "GABRIEL",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "928-772-3499",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC0410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Prescott Valley, AZ
• Providers in Prescott Valley, AZ by specialty
• Professional Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2009; 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.