Nathan Velez, PH.D

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC14297 Issued in AZ

Practice address

105 N 5TH Ave
Holbrook, AZ 86025-2817

Phone

(928) 524-6126

Fax

(928) 524-6090

NPI assigned

Sep 22, 2008

Sex

Male

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Changepoint Integrated Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Show Low, AZ
  • NPI 1689212508
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: nathan.velezlpcbhp.p1@direct.tgcaz.nextgenshare.com

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 19, 2013.

{
    "created_epoch": "1222041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374192000000",
    "number": "1104076512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 N 5TH AVE",
            "city": "HOLBROOK",
            "state": "AZ",
            "postal_code": "860252817",
            "telephone_number": "928-524-6701",
            "fax_number": "928-524-3086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 N 5TH AVE",
            "city": "HOLBROOK",
            "state": "AZ",
            "postal_code": "860252817",
            "telephone_number": "928-524-6126",
            "fax_number": "928-524-6090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELEZ",
        "first_name": "NATHAN",
        "credential": "PH.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-22",
        "last_updated": "2013-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AZ",
            "license": "LAC12953",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "LASAC13129",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC14297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stuart Eye Centre
• Ryan Craig Stuart, O.D.
• V Craig Stuart, OD
• Summit Healthcare Medical Associates
• Edward Shane Trantham, FNP-C
• Vitegent Healthcare Inc.
• Margaret Abril Webb, LCSW

• All providers in Holbrook, AZ
• Professional Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2013; 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.