Individual provider Active NPI

Darwin Ray West, LMFT

  • Marriage & Family Therapist
  • Show Low, AZ
National Provider Identifier
1245296763
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT10183 Issued in AZ
Practice address
1141 E Cooley St Ste L
Show Low, AZ 85901-5100
Phone
(928) 243-5558
NPI assigned
Apr 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LMFT10183 AZ Primary

Addresses

Primary practice location

1141 E Cooley St Ste L
Show Low, AZ 85901-5100

Mailing address

PO Box 2375
Snowflake, AZ 85937-2375
Phone (928) 243-2908

Other identifiers 1

IdentifierTypeStateIssuer
860878OtherAZAHCCCS

Other names 1

  • Darwin R West Other name

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
LMFT10183AZMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Arizona Behavioral Services Marriage & Family Therapist CurrentSince Jun 16, 2024 Accepting new patients
Changepoint Integrated Past Accepting new patients
Changepoint Integrated Health Past Accepting new patients

Locations

1141 E Cooley St
Ste L
Show Low, AZ 85901
Phone (928) 205-1798

Organizations & group practices 3

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": "1145836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1245296763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2375",
            "city": "SNOWFLAKE",
            "state": "AZ",
            "postal_code": "859372375",
            "telephone_number": "928-243-2908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1141 E COOLEY ST STE L",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859015100",
            "telephone_number": "928-243-5558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEST",
        "first_name": "DARWIN",
        "middle_name": "RAY",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-24",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "AZ",
            "license": "LMFT10183",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS",
            "identifier": "860878",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DARWIN",
            "last_name": "WEST",
            "middle_name": "R",
            "credential": "LMFT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Show Low, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; 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.