Organization Active NPI

United States Veterans Initiative - Prescott

  • Counselor
  • Prescott, AZ
National Provider Identifier
1053835843
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LPC-13141 Issued in AZ
Legal business name
UNITED STATES VETERANS INITIATIVE - PRESCOTT
Practice address
917 E Gurley St
Prescott, AZ 86301
Phone
(928) 583-7678
NPI assigned
Aug 2, 2017
Organization subpart
Yes
Parent organization
UNITED STATES VETERANS INITIATIVEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 7, 2025

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

Authorized official

Name
Carole Benedict
Title
Executive Director
Phone
(928) 583-7678

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X LPC-13141 AZ Primary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X LPC-16532 AZ
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X LPC-15394 AZ
Case Manager/Care CoordinatorGroup: 193400000X SINGLE SPECIALTY GROUP 171M00000X

Addresses

Primary practice location

917 E Gurley St
Prescott, AZ 86301

Mailing address

917 E Gurley St
Prescott, AZ 86301
Phone (928) 583-7678

Other names 1

  • U.S. VETS - Prescott Other name

National Provider Directory

National Provider Directory
Part of
United States Veterans Initiative - National Office

Locations

917 E Gurley St
Prescott, AZ 86301
Phone (928) 308-5324

Practitioners & affiliated clinicians

Practitioners 7

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": "1501632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751846400000",
    "number": "1053835843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "917 E GURLEY ST",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "86301",
            "telephone_number": "928-583-7678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 E GURLEY ST",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "86301",
            "telephone_number": "928-583-7678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED STATES VETERANS INITIATIVE - PRESCOTT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNITED STATES VETERANS INITIATIVE",
        "enumeration_date": "2017-08-02",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A",
        "authorized_official_last_name": "BENEDICT",
        "authorized_official_first_name": "CAROLE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "928-583-7678"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "AZ",
            "license": "LPC-13141",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "AZ",
            "license": "LPC-16532",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "AZ",
            "license": "LPC-15394",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "U.S. VETS - Prescott",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jul 7, 2025; 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.