Affinity Counseling Center LLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

10409 Issued in AZ

Legal business name

AFFINITY COUNSELING CENTER LLC

Practice address

2292 W Magee Rd Ste 260
Tucson, AZ 85742-4304

Phone

(520) 447-7440

Fax

(520) 306-4861

NPI assigned

Aug 23, 2017

Organization subpart

No

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

Authorized official

Name

Jonathan StattNPI 1447570197

Title

Member

Phone

(520) 447-7440

Specialties & licenses 1

Addresses

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jonathan S Statt, LMFT

  • Marriage & Family Therapist
  • Tucson, AZ
  • NPI 1447570197
  NPD Authorized official
• Garret Michael Bolthouse, MA, MCFC, LPC, NCC

  • Counselor
  • Tucson, AZ
  • NPI 1740933910
  NPD (past)
• William Smith Brubaker Sr., LCSW

  • Clinical Social Worker
  • Tucson, AZ
  • NPI 1780069047
  NPD (past)
• Daniel Scott Orozco, LPC, CETP, CCFP, NCC

  • Mental Health Counselor
  • Tucson, AZ
  • NPI 1841567120
  NPD (past)

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

{
    "created_epoch": "1503446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503446400000",
    "number": "1205353083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 89784",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857529784",
            "telephone_number": "520-447-7440",
            "fax_number": "520-306-4861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2292 W MAGEE RD STE 260",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857424304",
            "telephone_number": "520-447-7440",
            "fax_number": "520-306-4861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFINITY COUNSELING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-23",
        "last_updated": "2017-08-23",
        "status": "A",
        "authorized_official_last_name": "STATT",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "520-447-7440"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "AZ",
            "license": "10409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Tucson, AZ
• Marriage & Family Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2017; 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.