Organization Active NPI

Dovetreecounseling Associates, Inc.

  • Mental Health Counselor
  • Safford, AZ
National Provider Identifier
1316261688
Registry record updated Mar 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC10230 Issued in AZ
Legal business name
DOVETREECOUNSELING ASSOCIATES, INC.
Practice address
1906 W Thatcher Blvd
Safford, AZ 85546-3342
Phone
(928) 428-8714
Fax
(928) 428-8188
NPI assigned
Mar 16, 2010
Last updated
Mar 16, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2010

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

Authorized official

Name
Donald Paul ThomasNPI 1023032992
Title
President
Phone
(928) 428-8714

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LISAC 11843 AZ
Mental Health Counselor 101YM0800X LPC10230 AZ Primary

Addresses

Primary practice location

1906 W Thatcher Blvd
Safford, AZ 85546-3342

Mailing address

1906 W Thatcher Blvd
Safford, AZ 85546-3342

National Provider Directory

National Provider Directory

Locations

1906 W Thatcher Blvd
Safford, AZ 85546
Phone (928) 428-8714

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1268697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268697600000",
    "number": "1316261688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1906 W THATCHER BLVD",
            "city": "SAFFORD",
            "state": "AZ",
            "postal_code": "855463342",
            "fax_number": "928-428-8188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1906 W THATCHER BLVD",
            "city": "SAFFORD",
            "state": "AZ",
            "postal_code": "855463342",
            "telephone_number": "928-428-8714",
            "fax_number": "928-428-8188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOVETREECOUNSELING ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-16",
        "last_updated": "2010-03-16",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "928-428-8714"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "LISAC 11843",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LPC10230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Safford, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2010; 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.