Individual provider Active NPI

Nancy Ann Downs

  • Counselor
  • St. Johns, AZ
National Provider Identifier
1194796318
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LPC-11616 Issued in AZ
Practice address
490 W Cleveland Ave
St. Johns, AZ 85936
Phone
(928) 337-4301
Fax
(928) 337-2269
NPI assigned
Jan 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LPC-11616 AZ Primary

Addresses

Primary practice location

490 W Cleveland Ave
St. Johns, AZ 85936

Mailing address

PO Box 579
Saint Johns, AZ 85936-0579
Phone (928) 337-4301

Other identifiers 1

IdentifierTypeStateIssuer
869406OtherAZAHCCCS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LPC-11616AZMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Little Colorado Behavioral Health Center Inc. Counselor Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194796318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 579",
            "city": "SAINT JOHNS",
            "state": "AZ",
            "postal_code": "859360579",
            "telephone_number": "928-337-4301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 W CLEVELAND AVE",
            "city": "ST. JOHNS",
            "state": "AZ",
            "postal_code": "85936",
            "telephone_number": "928-337-4301",
            "fax_number": "928-337-2269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOWNS",
        "first_name": "NANCY",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AZ",
            "license": "LPC-11616",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS",
            "identifier": "869406",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St. Johns, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.