NPIMap

Organization Active NPI

Desert Counseling & Recovery Services

  • Community/Behavioral Health Agency
  • Yuma, AZ
National Provider Identifier
1164765350
Registry record updated Apr 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
DESERT COUNSELING & RECOVERY SERVICES
Practice address
3970 W 24TH St Ste 206
Yuma, AZ 85364-9255
Phone
(928) 373-8041
Fax
(928) 259-2501
NPI assigned
Apr 5, 2013
Last updated
Apr 28, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2020

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

Authorized official

Name
Maria Anaya McKivergan, MS, LPC, NCCNPI 1841461175
Title
Owner/Clinician
Phone
(928) 373-8041

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
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

3970 W 24TH St Ste 206
Yuma, AZ 85364-9255

Mailing address

3970 W 24TH St Ste 206
Yuma, AZ 85364-9255
Phone (928) 373-8041

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200518000957 AZ Part B Supplier - Clinic/Group Practice 3779848494 Receives reassigned benefits from 4 practitioners
Practice locations: Yuma, AZ

National Provider Directory

National Provider Directory

Locations

2260 S 4th Ave
Ste 2A
Yuma, AZ 85364
Phone (928) 373-8041

3970 W 24th St
Ste 204
Yuma, AZ 85364
Phone (928) 373-8041

3970 W 24th St
Ste 206
Yuma, AZ 85364
Phone (928) 373-8041

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1365120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588032000000",
    "number": "1164765350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3970 W 24TH ST STE 206",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853649255",
            "telephone_number": "928-373-8041",
            "fax_number": "928-259-2501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3970 W 24TH ST STE 206",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853649255",
            "telephone_number": "928-373-8041",
            "fax_number": "928-259-2501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT COUNSELING & RECOVERY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-05",
        "last_updated": "2020-04-28",
        "certification_date": "2020-04-28",
        "status": "A",
        "authorized_official_last_name": "MCKIVERGAN",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "ANAYA",
        "authorized_official_title_or_position": "OWNER/CLINICIAN",
        "authorized_official_telephone_number": "928-373-8041",
        "authorized_official_credential": "MS, LPC, NCC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.