Individual provider Active NPI

Stephen C Coty, LPC

  • Professional Counselor
  • Peoria, AZ
National Provider Identifier
1306430640
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
19511 Issued in AZ
Practice address
8332 W Thunderbird Rd
Peoria, AZ 85381-4822
Phone
(623) 776-3006
NPI assigned
Feb 26, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X CP5747-R NV
Professional Counselor 101YP2500X 19511 AZ Primary

Addresses

Primary practice location

8332 W Thunderbird Rd
Peoria, AZ 85381-4822

Mailing address

8332 W Thunderbird Rd
Peoria, AZ 85381-4822
Phone (623) 776-3006

Other practice location 1

1825 E Warm Springs Rd
Las Vegas, NV 89119-4547
Phone (855) 417-2486

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, NV2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240220004653 AZ Practitioner - Mental Health Counselor 2365886173 Reassigns benefits to 1 organization
I20240726000536 NV Practitioner - Mental Health Counselor 2365886173 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19511AZMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
MC Medical Group of Nevada, P.C CurrentSince Jun 20, 2024 Accepting new patients
Minuteclinic LLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

28138 N Tatum Blvd
Cave Creek, AZ 85331
Phone (480) 585-6097

8332 W Thunderbird Rd
Peoria, AZ 85381
Phone (623) 776-3006

10650 N Oracle Rd
Tucson, AZ 85737
Phone (520) 544-5544

1825 E Warm Springs Rd
Las Vegas, NV 89119
Phone (702) 361-4873

4755 W Ann Rd
North Las Vegas, NV 89031
Phone (702) 396-2857

Interoperability endpoints

  • Direct secure messaging: stephen.coty.p1@direct.terros.nextgenshare.com

Organizations & group practices 2

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": "1614297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1306430640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8332 W THUNDERBIRD RD",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814822",
            "telephone_number": "623-776-3006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8332 W THUNDERBIRD RD",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814822",
            "telephone_number": "623-776-3006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1825 E Warm Springs Rd",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891194547",
            "country_code": "US",
            "telephone_number": "855-417-2486",
            "fax_number": "702-838-0997",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COTY",
        "first_name": "STEPHEN",
        "middle_name": "C",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-26",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NV",
            "license": "CP5747-R",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "19511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

Verify at the official NPI Registry.