NPIMap

Organization Active NPI

Crestview Child Counseling, LLC

  • Professional Counselor
  • Tempe, AZ
National Provider Identifier
1275924482
Registry record updated Jan 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-13990 Issued in AZ
Legal business name
CRESTVIEW CHILD COUNSELING, LLC
Practice address
9855 S Priest Dr Ste 102
Tempe, AZ 85284-3605
Phone
(480) 616-4141
NPI assigned
Feb 10, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2021

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

Authorized official

Name
Dr. Liz Plotkin, PHDNPI 1689065005
Title
Therapist/Owner
Phone
(480) 616-4141

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X LPC-13990 AZ Primary

Addresses

Primary practice location

9855 S Priest Dr Ste 102
Tempe, AZ 85284-3605

Mailing address

PO Box 11373
Chandler, AZ 85248-0007
Phone (480) 616-4141

National Provider Directory

National Provider Directory

Locations

4425 E Agave Rd
Ste 116
Phoenix, AZ 85044
Phone (480) 225-3195

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1423526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611532800000",
    "number": "1275924482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11373",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852480007",
            "telephone_number": "480-616-4141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9855 S PRIEST DR STE 102",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852843605",
            "telephone_number": "480-616-4141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESTVIEW CHILD COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-10",
        "last_updated": "2021-01-25",
        "certification_date": "2021-01-25",
        "status": "A",
        "authorized_official_last_name": "PLOTKIN",
        "authorized_official_first_name": "LIZ",
        "authorized_official_title_or_position": "THERAPIST/OWNER",
        "authorized_official_telephone_number": "480-616-4141",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-13990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2021; 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.