NPIMap

Organization Active NPI

Catholic Community Services in Western Az

  • Counselor
  • Yuma, AZ
National Provider Identifier
1255437836
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
OTC6081 Issued in AZ
Legal business name
CATHOLIC COMMUNITY SERVICES IN WESTERN AZ
Practice address
690 E 32ND St
Yuma, AZ 85365-3437
Phone
(928) 341-9400
NPI assigned
Sep 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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

Authorized official

Name
Mrs. Eva Mendez-Counts, M.A.
Title
Executive Director
Phone
(928) 341-9400

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X OTC6081 AZ Primary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X OTC6081 AZ
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X OTC6081 AZ
Adult Day Care Clinic/Center 261QA0600X AL3382D AZ
Home Delivered Meals 332U00000X

Addresses

Primary practice location

690 E 32ND St
Yuma, AZ 85365-3437

Mailing address

690 E 32ND St
Yuma, AZ 85365-3437
Phone (928) 341-9400

Other identifiers 1

IdentifierTypeStateIssuer
062125MedicaidAZ

National Provider Directory

National Provider Directory
Tax ID family
Catholic Community Services in Southern Arizona11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

705 W Union St
Benson, AZ 85602

2950 E Tacoma St
Sierra Vista, AZ 85635

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718841600000",
    "number": "1255437836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "690 E 32ND ST",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853653437",
            "telephone_number": "928-341-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 E 32ND ST",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853653437",
            "telephone_number": "928-341-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHOLIC COMMUNITY SERVICES IN WESTERN AZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A",
        "authorized_official_last_name": "MENDEZ-COUNTS",
        "authorized_official_first_name": "EVA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "928-341-9400",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "AZ",
            "license": "OTC6081",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "OTC6081",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "OTC6081",
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "AZ",
            "license": "AL3382D",
            "primary": false
        },
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "062125",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.