Active NPI
Kathy Stoecker LLC
- Professional Counselor
- Prescott, AZ
National Provider Identifier
1043967474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mark Howard Stoecker, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary | ||
| Internal Medicine Physician | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Family Medicine Physician
- Prescott, AZ
- NPI 1023181583
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.