Active NPI
Harry Shelton Cole Jr., LMFT
- Marriage & Family Therapist
- St Johns, AZ
National Provider Identifier
1154559292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT-10281
- Practice address
- 470 West Cleveland
St Johns, AZ 85936 - Phone
- (928) 337-4301
- Fax
- (928) 337-2269
- NPI assigned
- Jun 28, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LMFT-10281 | AZ | Primary |
Addresses
Primary practice location
470 West Cleveland
St Johns, AZ 85936
Mailing address
PO Box 579
Saint Johns, AZ 85936-0579
Phone (928) 333-2683
Other practice location 1
50 North Hopi Street
Springerville, AZ 85938
Phone (928) 333-2683
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 941493 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMFT-10281 | AZ | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Little Colorado Behavioral Health Center Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Saint Johns, AZ
- NPI 1134292485
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1154559292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 579",
"city": "SAINT JOHNS",
"state": "AZ",
"postal_code": "859360579",
"telephone_number": "928-333-2683"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "470 WEST CLEVELAND",
"city": "ST JOHNS",
"state": "AZ",
"postal_code": "85936",
"telephone_number": "928-337-4301",
"fax_number": "928-337-2269"
}
],
"practiceLocations": [
{
"address_1": "50 North Hopi Street",
"address_purpose": "LOCATION",
"city": "Springerville",
"state": "AZ",
"postal_code": "85938",
"country_code": "US",
"telephone_number": "928-333-2683",
"fax_number": "928-333-5595",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COLE",
"first_name": "HARRY",
"middle_name": "SHELTON",
"name_suffix": "Jr.",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-06-28",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "AZ",
"license": "LMFT-10281",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "941493",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in St Johns, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.