Active NPI
David Pope, LASAC
- Addiction (Substance Use Disorder) Counselor
- Prescott, AZ
National Provider Identifier
1053476309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- LASAC-15150
- Practice address
- 919 12TH PL Ste 13
Prescott, AZ 86305-1433 - Phone
- (402) 619-6419
- Fax
- (928) 227-2967
- NPI assigned
- Dec 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LASAC-15150 | AZ | Primary |
Addresses
Primary practice location
919 12TH PL Ste 13
Prescott, AZ 86305-1433
Mailing address
919 12TH PL Ste 13
Prescott, AZ 86305-1433
Phone (402) 619-6419
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 |
|---|---|---|---|
| LASAC-15150 | AZ | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463616000000",
"number": "1053476309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "919 12TH PL STE 13",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863051433",
"telephone_number": "402-619-6419",
"fax_number": "928-227-2967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "919 12TH PL STE 13",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863051433",
"telephone_number": "402-619-6419",
"fax_number": "928-227-2967"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POPE",
"first_name": "DAVID",
"credential": "LASAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-27",
"last_updated": "2016-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "AZ",
"license": "LASAC-15150",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 May 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.