Kristopher Dohse, LAC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LAC-20694 Issued in AZ

Practice address

624 N Humphreys St Ste 2
Flagstaff, AZ 86001-3070

Phone

(602) 892-4726

NPI assigned

Dec 15, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Cultivate Counseling PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Flagstaff, AZ
  • NPI 1700383411
  NPD Authorized official

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

{
    "created_epoch": "1671062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671062400000",
    "number": "1164134672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 N HUMPHREYS ST STE 2",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860013070",
            "telephone_number": "602-892-4726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 N HUMPHREYS ST STE 2",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860013070",
            "telephone_number": "602-892-4726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOHSE",
        "first_name": "KRISTOPHER",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-12-15",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LAC-20694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Doc Martins Inc a C C (Flagstaff Family Care Clinic)
• Joanne Marie Doedens, RN
• Catherine M Doering, P.T.
• Tammy A Doering, PA
• Chelsea Nicole Dohse, RN
• Melissa Dohse, LCSW
• Don Berlyn Physical Therapy PC
• Belinda C Donahoe, ATC, LAT
• Cathron Donaldson, PT
• Donna Jean Donaldson, AU.D.

• Professional Counselor in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Professional Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.

Verify at the official NPI Registry.