Individual provider Active NPI

Priscilla D Whitlock-Coates, LPC

  • Professional Counselor
  • Sierra Vista, AZ
National Provider Identifier
1194315747
Registry record updated May 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-17755 Issued in AZ
Practice address
333 W Wilcox Dr Ste 109
Sierra Vista, AZ 85635-1756
Phone
(520) 477-9151
NPI assigned
Jan 18, 2021
Last updated
May 23, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X LPC-17755 AZ Primary

Addresses

Primary practice location

333 W Wilcox Dr Ste 109
Sierra Vista, AZ 85635-1756

Mailing address

2511 N Calle Seis
Huachuca City, AZ 85616-8135
Phone (520) 227-4402

Other names 1

  • Ms. Priscilla D Whitlock Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC-17755AZMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Bring About Changes LLC Professional CurrentSince Jan 24, 2021 Accepting new patients
Sondermind Provider Network LLC Professional CurrentSince Mar 14, 2024 Accepting new patients

Locations

20 E Thomas Rd
Ste 2200
Phoenix, AZ 85012
Phone (310) 515-8113

333 W Wilcox Dr
Ste 109
Sierra Vista, AZ 85635
Phone (520) 249-1759

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1610928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653264000000",
    "number": "1194315747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2511 N CALLE SEIS",
            "city": "HUACHUCA CITY",
            "state": "AZ",
            "postal_code": "856168135",
            "telephone_number": "520-227-4402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 W WILCOX DR STE 109",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856351756",
            "telephone_number": "520-477-9151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITLOCK-COATES",
        "first_name": "PRISCILLA",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-18",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-17755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PRISCILLA",
            "last_name": "WHITLOCK",
            "middle_name": "D",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sierra Vista, AZ

Sources for this page

Verify at the official NPI Registry.