NPIMap

Organization Active NPI

Q Counseling Services, LLC

  • Clinical Social Worker
  • Phoenix, AZ
National Provider Identifier
1235441460
Registry record updated Oct 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW12742 Issued in AZ
Legal business name
Q COUNSELING SERVICES, LLC
Practice address
301 E Bethany Home Rd
Ste C-296
Phoenix, AZ 85012-1263
Phone
(602) 570-2373
NPI assigned
Jul 2, 2010
Last updated
Oct 18, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2010

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

Authorized official

Name
Dr. Michael David Peck, PHD
Title
President
Phone
(602) 570-2373

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW12742 AZ Primary

Addresses

Primary practice location

301 E Bethany Home Rd
Ste C-296
Phoenix, AZ 85012-1263

Mailing address

2030 N Dayton St
Phoenix, AZ 85006-2123
Phone (602) 570-2373

Other identifiers 2

IdentifierTypeStateIssuer
432878MedicaidAZ
11984370OtherCAQH

National Provider Directory

National Provider Directory

Locations

301 E Bethany Home Rd
Ste C296
Phoenix, AZ 85012
Phone (602) 266-8442

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1278028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287360000000",
    "number": "1235441460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2030 N DAYTON ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062123",
            "telephone_number": "602-570-2373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E BETHANY HOME RD",
            "address_2": "STE C-296",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850121263",
            "telephone_number": "602-570-2373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "Q COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-02",
        "last_updated": "2010-10-18",
        "status": "A",
        "authorized_official_last_name": "PECK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-570-2373",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW12742",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "432878",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11984370",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2010; 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.