NPIMap

Organization Active NPI

Kaibeto Outpatient Treatment Center

  • Community/Behavioral Health Agency
  • Kaibeto, AZ
National Provider Identifier
1083835458
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
KAIBETO OUTPATIENT TREATMENT CENTER
Practice address
1/4 Mile South of Kaibeto Market BLDG 7986
Kaibeto, AZ 86053-2147
Phone
(928) 673-3267
Fax
(928) 673-3269
NPI assigned
May 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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

Authorized official

Name
Janell Dickson, M.A., M.ED., LPC
Title
Behavioral Health Director
Phone
(928) 673-3267

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 822909 AZ
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1/4 Mile South of Kaibeto Market BLDG 7986
Kaibeto, AZ 86053-2147

Mailing address

PO Box 2147
Kaibeto, AZ 86053-2147
Phone (928) 673-3267

Other identifiers 1

IdentifierTypeStateIssuer
822909MedicaidAZ

Other names 1

  • Navajo Nation Other name

National Provider Directory

National Provider Directory
Tax ID family
Navajo Tribe ER Med SVC18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

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

View all 17

Practitioners & affiliated clinicians

Practitioners 3

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": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785888000000",
    "number": "1083835458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2147",
            "city": "KAIBETO",
            "state": "AZ",
            "postal_code": "860532147",
            "telephone_number": "928-673-3267",
            "fax_number": "928-673-3269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1/4 MILE SOUTH OF KAIBETO MARKET BLDG 7986",
            "city": "KAIBETO",
            "state": "AZ",
            "postal_code": "860532147",
            "telephone_number": "928-673-3267",
            "fax_number": "928-673-3269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAIBETO OUTPATIENT TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A",
        "authorized_official_last_name": "DICKSON",
        "authorized_official_first_name": "JANELL",
        "authorized_official_title_or_position": "BEHAVIORAL HEALTH DIRECTOR",
        "authorized_official_telephone_number": "928-673-3267",
        "authorized_official_credential": "M.A., M.ED., LPC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "822909",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "822909",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Navajo Nation",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Navajo Nation",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Kaibeto, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; 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.