DW Counseling Center, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

BH2258 Issued in AZ

Legal business name

DW COUNSELING CENTER, LLC

Doing business as

Desert Winds Counseling

Practice address

925 N Stapley Dr
#A
Mesa, AZ 85203-5637

Phone

(480) 461-0795

Fax

(480) 964-2323

NPI assigned

Apr 21, 2008

Last updated

Apr 21, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Scott L Smith, MA, LISACNPI 1740280775

Title

Manager

Phone

(480) 461-0795

Specialties & licenses 1

Addresses

Other names 1

• Desert Winds Counseling Doing business as

Locations

Practitioners 1

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.

• Scott Louis Smith, MA, LISAC

  • Mental Health Counselor
  • Mesa, AZ
  • NPI 1740280775
  NPD (past) Authorized official

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

{
    "created_epoch": "1208736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208736000000",
    "number": "1174797146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 N STAPLEY DR",
            "address_2": "#A",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852035637",
            "telephone_number": "480-461-0795",
            "fax_number": "480-964-2323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 N STAPLEY DR",
            "address_2": "#A",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852035637",
            "telephone_number": "480-461-0795",
            "fax_number": "480-964-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DW COUNSELING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-21",
        "last_updated": "2008-04-21",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "480-461-0795",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA, LISAC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": "BH2258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Desert Winds Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Behavioral Health Agency in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Community/Behavioral Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2008; 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.