Individual provider Active NPI

Paul Swart

  • Counselor
  • Prescott, AZ
National Provider Identifier
1316561491
Registry record updated Jun 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LAC-18989 Issued in AZ
Practice address
214 N Arizona Ave
Prescott, AZ 86301-3104
Phone
(928) 776-8251
NPI assigned
Jun 3, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LAC-18989 AZ Primary

Addresses

Primary practice location

214 N Arizona Ave
Prescott, AZ 86301-3104

Mailing address

214 N Arizona Ave
Prescott, AZ 86301-3104
Phone (928) 776-8251

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pauls@prescotthouse.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LAC-18989AZMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Prescott House Inc PastSince Jun 7, 2020 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1591142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591142400000",
    "number": "1316561491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 N ARIZONA AVE",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863013104",
            "telephone_number": "928-776-8251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 N ARIZONA AVE",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863013104",
            "telephone_number": "928-776-8251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWART",
        "first_name": "PAUL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-03",
        "last_updated": "2020-06-03",
        "certification_date": "2020-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AZ",
            "license": "LAC-18989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pauls@prescotthouse.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "useOtherDescription": "Prescott",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "214 N Arizona Ave",
            "city": "Prescott",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "863013104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Prescott, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2020; 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.