NPIMap

Organization Active NPI

Intentional Counseling Services LLC

  • Professional Counselor
  • Tempe, AZ
National Provider Identifier
1285043604
Registry record updated Aug 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
13969 Issued in AZ
Legal business name
INTENTIONAL COUNSELING SERVICES LLC
Practice address
3231 S Country Club Way
Suite 111
Tempe, AZ 85282-4053
Phone
(480) 204-2477
Fax
(480) 659-7230
NPI assigned
Aug 11, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2014

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

Authorized official

Name
Deborah Butler
Title
Office Manager
Phone
(480) 204-2477

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 13969 AZ Primary

Addresses

Primary practice location

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

Mailing address

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

National Provider Directory

National Provider Directory
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.

NPI Registry JSON

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

{
    "created_epoch": "1407715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407715200000",
    "number": "1285043604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3231 S COUNTRY CLUB WAY",
            "address_2": "SUITE 111",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852824053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3231 S COUNTRY CLUB WAY",
            "address_2": "SUITE 111",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852824053",
            "telephone_number": "480-204-2477",
            "fax_number": "480-659-7230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTENTIONAL COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-11",
        "last_updated": "2014-08-11",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "480-204-2477"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "13969",
            "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 Aug 11, 2014; 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.