Active NPI
United States Veterans Initiative - Prescott
- Counselor
- Prescott, AZ
National Provider Identifier
1053835843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- LPC-13141
- 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 INITIATIVE
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | LPC-13141 | AZ | Primary |
| Counselor | 101Y00000X | LPC-16532 | AZ | |
| Counselor | 101Y00000X | LPC-15394 | AZ | |
| Case Manager/Care Coordinator | 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
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.
-
- Case Manager/Care Coordinator
- Prescott, AZ
- NPI 1568018539
-
- Social Worker
- Prescott, AZ
- NPI 1477108512
-
- Case Manager/Care Coordinator
- Prescott, AZ
- NPI 1194371724
-
- Social Worker
- Prescott, AZ
- NPI 1134775786
-
- Case Manager/Care Coordinator
- Prescott, AZ
- NPI 1659920015
-
- Counselor
- Prescott, AZ
- NPI 1386298503
-
- Professional Counselor
- Prescott, AZ
- NPI 1174179287
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.