Intentional Counseling Services LLC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

LPC-13969 Issued in AZ

Legal business name

INTENTIONAL COUNSELING SERVICES LLC

Practice address

3231 S Country Club Way
Ste 111
Tempe, AZ 85282-4053

Phone

(480) 428-2549

Fax

(480) 659-7230

NPI assigned

Oct 31, 2016

Last updated

Oct 31, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Paul Krauss, MA LPC

Title

Owner

Phone

(480) 428-2549

Specialties & licenses 1

Addresses

Tax ID family

Intentional Counseling Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Intentional Counseling Services LLC

  • Professional Counselor
  • Tempe, AZ
  • NPI 1285043604
  NPD tax ID

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

{
    "created_epoch": "1477872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477872000000",
    "number": "1255883880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3231 S COUNTRY CLUB WAY",
            "address_2": "STE 111",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852824053",
            "telephone_number": "480-428-2549",
            "fax_number": "480-659-7230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3231 S COUNTRY CLUB WAY",
            "address_2": "STE 111",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852824053",
            "telephone_number": "480-428-2549",
            "fax_number": "480-659-7230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTENTIONAL COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-31",
        "last_updated": "2016-10-31",
        "status": "A",
        "authorized_official_last_name": "KRAUSS",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-428-2549",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AZ",
            "license": "LPC-13969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Counselor in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2016; 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.