Organization Active NPI

Mountain Valley Counseling Associates, Inc.

  • Community/Behavioral Health Agency
  • Mesa, AZ
National Provider Identifier
1063600542
Registry record updated Oct 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
BH-1852 Issued in AZ
Legal business name
MOUNTAIN VALLEY COUNSELING ASSOCIATES, INC.
Practice address
145 E University Dr
Suite 6
Mesa, AZ 85201-5945
Phone
(480) 962-7808
Fax
(480) 962-0560
NPI assigned
Oct 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2007

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

Authorized official

Name
Ms. Marcy Wilkerson, CPA
Title
Owner
Phone
(480) 962-7808

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X BH-1852 AZ Primary

Addresses

Primary practice location

145 E University Dr
Suite 6
Mesa, AZ 85201-5945

Mailing address

145 E University Dr
Suite 6
Mesa, AZ 85201-5945
Phone (480) 962-7808

National Provider Directory

National Provider Directory
Tax ID family
Mountain Valley Counseling Associates Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

145 E University Dr
Ste 6
Mesa, AZ 85201
Phone (480) 962-7808

NPI Registry JSON

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191888000000",
    "number": "1063600542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 E UNIVERSITY DR",
            "address_2": "SUITE 6",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852015945",
            "telephone_number": "480-962-7808",
            "fax_number": "480-962-0560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 E UNIVERSITY DR",
            "address_2": "SUITE 6",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852015945",
            "telephone_number": "480-962-7808",
            "fax_number": "480-962-0560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN VALLEY COUNSELING ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2007-10-09",
        "status": "A",
        "authorized_official_last_name": "WILKERSON",
        "authorized_official_first_name": "MARCY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-962-7808",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": "BH-1852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; 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.