Anjaneane Love Coambs, M.ED., LPC AND IMHE

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC14498 Issued in AZ

Practice address

812 Valley St
Prescott, AZ 86305-1826

Phone

(928) 925-5130

NPI assigned

Mar 12, 2016

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

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

{
    "created_epoch": "1457740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1063873487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 VALLEY ST.",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "86305",
            "telephone_number": "928-925-5130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 VALLEY ST",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863051826",
            "telephone_number": "928-925-5130"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1604 Eagle Point Dr",
            "address_purpose": "LOCATION",
            "city": "Prescott",
            "state": "AZ",
            "postal_code": "863015487",
            "country_code": "US",
            "telephone_number": "928-925-5130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COAMBS",
        "first_name": "ANJANEANE",
        "middle_name": "LOVE",
        "name_prefix": "Mrs.",
        "credential": "M.ED., LPC AND IMHE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-12",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AZ",
            "license": "LPC14498",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LPC14498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary N Cline, PMHNP
• Heide Cline, M.A., CCC-SLP
• Michelle Darlene Closs, LMT
• Robyn Clow, FNP-C
• Brittney Nicole Coahran, NP
• April Marie Coates, APRN
• Darren L Coates, RPH
• Cognitive Function Development Institute, Inc.
• Jean Marie Colella, ANP
• Jennifer Jaulane Coletta

• Mental Health Counselor in Prescott, AZ
• Providers in Prescott, AZ by specialty
• Mental Health Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.