NPIMap

Organization Active NPI

Arizona Counseling Resources

  • Professional Counselor
  • Peoria, AZ
National Provider Identifier
1104836634
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-0331 Issued in AZ
Legal business name
ARIZONA COUNSELING RESOURCES
Practice address
10559 N 99TH Ave
Peoria, AZ 85345-5413
Phone
(623) 974-0357
Fax
(623) 974-0399
NPI assigned
Aug 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Burdette O Leikvoll, MA, LPCNPI 1679698005
Title
Owner
Phone
(623) 974-0357

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X LPC-0331 AZ Primary

Addresses

Primary practice location

10559 N 99TH Ave
Peoria, AZ 85345-5413

Mailing address

10559 N 99TH Ave
Peoria, AZ 85345-5413
Phone (623) 974-0357

National Provider Directory

National Provider Directory

Locations

10559 N 99th Ave
Peoria, AZ 85345
Phone (623) 974-0357

Practitioners & affiliated clinicians

Practitioners 2

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": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104836634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10559 N 99TH AVE",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853455413",
            "telephone_number": "623-974-0357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10559 N 99TH AVE",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853455413",
            "telephone_number": "623-974-0357",
            "fax_number": "623-974-0399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA COUNSELING RESOURCES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEIKVOLL",
        "authorized_official_first_name": "BURDETTE",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-974-0357",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA, LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-0331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.