NPIMap

Organization Active NPI

Coconino County Juvenile Courts

  • Mental Health Counselor
  • Flagstaff, AZ
National Provider Identifier
1194328450
Registry record updated Nov 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
COCONINO COUNTY JUVENILE COURTS
Practice address
1001 E. Sawmill Rd.
Flagstaff, AZ 86001-5833
Phone
(928) 226-5409
Fax
(928) 226-5454
NPI assigned
Nov 19, 2020
Last updated
Nov 19, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
COCONINO COUNTY JUVENILE COURTSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 19, 2020

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

Authorized official

Name
Bryon Matsuda
Title
Director of Court Services
Phone
(928) 226-5414

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

1001 E. Sawmill Rd.
Flagstaff, AZ 86001-5833

Mailing address

1001 E. Sawmill Rd.
Flagstaff, AZ 86001-5833
Phone (928) 226-5409

National Provider Directory

National Provider Directory
Tax ID family
Coconino County Health Department5 organizations share this tax ID, including this one
Part of
Coconino County Health Department

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1001 E Sawmill Rd
Flagstaff, AZ 86001
Phone (928) 226-5409

NPI Registry JSON

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

{
    "created_epoch": "1605744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605744000000",
    "number": "1194328450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 E. SAWMILL RD.",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860015833",
            "telephone_number": "928-226-5409",
            "fax_number": "928-226-5454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 E. SAWMILL RD.",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860015833",
            "telephone_number": "928-226-5409",
            "fax_number": "928-226-5454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COCONINO COUNTY JUVENILE COURTS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COCONINO COUNTY JUVENILE COURTS",
        "enumeration_date": "2020-11-19",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A",
        "authorized_official_last_name": "MATSUDA",
        "authorized_official_first_name": "BRYON",
        "authorized_official_title_or_position": "DIRECTOR OF COURT SERVICES",
        "authorized_official_telephone_number": "928-226-5414"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flagstaff, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2020; 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.