NPIMap

Organization Active NPI

Mesa Verde Counseling Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Sierra Vista, AZ
National Provider Identifier
1043098650
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
MESA VERDE COUNSELING INC
Practice address
2585 E Wilcox Dr Ste a
Sierra Vista, AZ 85635-2822
Phone
(520) 442-2812
NPI assigned
Sep 15, 2023
Last updated
Jan 6, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

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

Authorized official

Name
Asa Rhinehart
Title
Cfo
Phone
(520) 435-9027

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

2585 E Wilcox Dr Ste a
Sierra Vista, AZ 85635-2822

Mailing address

PO Box 1300
Hereford, AZ 85615-1300
Phone (520) 435-9025

Other practice location 1

5498 E Calle De La Palmera
Hereford, AZ 85615-8941
Phone (520) 435-9025

Other practice location 2

174 S Coronado Dr Ste B
Sierra Vista, AZ 85635-6356
Phone (520) 435-9027

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240304001252 AZ Part B Supplier - Clinic/Group Practice 3678918380 Receives reassigned benefits from 5 practitioners
Practice locations: Sierra Vista, AZ

National Provider Directory

National Provider Directory
Tax ID family
Mesa Verde Counseling Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

174 S Coronado Dr
Ste B
Sierra Vista, AZ 85635
Phone (520) 224-9100

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1694736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736121600000",
    "number": "1043098650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1300",
            "city": "HEREFORD",
            "state": "AZ",
            "postal_code": "856151300",
            "telephone_number": "520-435-9025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2585 E WILCOX DR STE A",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856352822",
            "telephone_number": "520-442-2812"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5498 E Calle De La Palmera",
            "address_purpose": "LOCATION",
            "city": "Hereford",
            "state": "AZ",
            "postal_code": "856158941",
            "country_code": "US",
            "telephone_number": "520-435-9025",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "174 S Coronado Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Sierra Vista",
            "state": "AZ",
            "postal_code": "856356356",
            "country_code": "US",
            "telephone_number": "520-435-9027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MESA VERDE COUNSELING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-15",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A",
        "authorized_official_last_name": "RHINEHART",
        "authorized_official_first_name": "ASA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "520-435-9027"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sierra Vista, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.