Organization Active NPI

Kathy Stoecker LLC

  • Professional Counselor
  • Prescott, AZ
National Provider Identifier
1043967474
Registry record updated Mar 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
KATHY STOECKER LLC
Practice address
148 N Summit Ave
Prescott, AZ 86301-2712
Phone
(928) 458-1227
Fax
(928) 379-5111
NPI assigned
Mar 5, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2022

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

Authorized official

Name
Dr. Mark Howard Stoecker, MDNPI 1932190287
Title
Coo
Phone
(928) 899-7854

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X

Addresses

Primary practice location

148 N Summit Ave
Prescott, AZ 86301-2712

Mailing address

2296 Golf Club LN
Prescott, AZ 86303-6922
Phone (928) 899-7854

Other names 1

  • Northern Arizona Trauma Institute LLC Doing business as

National Provider Directory

National Provider Directory

Locations

148 N Summit Ave
Prescott, AZ 86301
Phone (520) 921-0118

141 S McCormick St
Ste 212
Prescott, AZ 86303

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1646438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646438400000",
    "number": "1043967474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2296 GOLF CLUB LN",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863036922",
            "telephone_number": "928-899-7854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 N SUMMIT AVE",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863012712",
            "telephone_number": "928-458-1227",
            "fax_number": "928-379-5111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHY STOECKER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-05",
        "last_updated": "2022-03-05",
        "certification_date": "2022-03-05",
        "status": "A",
        "authorized_official_last_name": "STOECKER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "HOWARD",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "928-899-7854",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northern Arizona Trauma Institute LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Prescott, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2022; 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.