NPIMap

Organization Active NPI

Painted Desert Counseling

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Holbrook, AZ
National Provider Identifier
1225632565
Registry record updated Nov 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
PAINTED DESERT COUNSELING
Practice address
1310 Smithson Dr
Holbrook, AZ 86025-1947
Phone
(928) 503-1827
NPI assigned
Nov 27, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2020

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

Authorized official

Name
Mrs. Gretchen Elizabeth Herndon, MA, LPCNPI 1104283654
Title
Counselor
Phone
(928) 503-1827

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1310 Smithson Dr
Holbrook, AZ 86025-1947

Mailing address

1310 Smithson Dr
Holbrook, AZ 86025-1947
Phone (928) 503-1827

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1606435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606435200000",
    "number": "1225632565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 SMITHSON DR",
            "city": "HOLBROOK",
            "state": "AZ",
            "postal_code": "860251947",
            "telephone_number": "928-503-1827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 SMITHSON DR",
            "city": "HOLBROOK",
            "state": "AZ",
            "postal_code": "860251947",
            "telephone_number": "928-503-1827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAINTED DESERT COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-27",
        "last_updated": "2020-11-27",
        "certification_date": "2020-11-27",
        "status": "A",
        "authorized_official_last_name": "HERNDON",
        "authorized_official_first_name": "GRETCHEN",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "928-503-1827",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA, LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holbrook, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.