Active NPI
Cloy Renee Dellaripa, M.C.
- Mental Health Counselor
- Prescott, AZ
National Provider Identifier
1235309923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPC-21440
- Practice address
- 240 S Montezuma St Ste 100
Prescott, AZ 86303-4712 - Phone
- (928) 237-2570
- NPI assigned
- Mar 10, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2008006385 | MO | |
| Mental Health Counselor | 101YM0800X | LPC-21440 | AZ | Primary |
Addresses
Primary practice location
240 S Montezuma St Ste 100
Prescott, AZ 86303-4712
Mailing address
240 S Montezuma St Ste 100
Prescott, AZ 86303-4712
Phone (567) 202-7267
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 13, 2025 through Jan 13, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC-21440 | AZ | MD | Mental Health Counselor |
| 2008006385 | MO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723680000000",
"number": "1235309923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "240 S MONTEZUMA ST STE 100",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863034712",
"telephone_number": "567-202-7267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 S MONTEZUMA ST STE 100",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863034712",
"telephone_number": "928-237-2570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELLARIPA",
"first_name": "CLOY",
"middle_name": "RENEE",
"name_prefix": "Ms.",
"credential": "M.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-10",
"last_updated": "2024-08-15",
"certification_date": "2024-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2008006385",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AZ",
"license": "LPC-21440",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Prescott, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.