Organization Active NPI

Psychological Counseling Services

  • Case Management Agency
  • Fountain Hills, AZ
National Provider Identifier
1326240243
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
10982 Issued in AZ
Legal business name
PSYCHOLOGICAL COUNSELING SERVICES
Practice address
14815 E Lookout Ledge
Fountain Hills, AZ 85268-6408
Phone
(480) 236-6682
NPI assigned
Jun 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Marcus Earle, PHD
Title
Clinical Director
Phone
(480) 947-5739

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 10982 AZ Primary

Addresses

Primary practice location

14815 E Lookout Ledge
Fountain Hills, AZ 85268-6408

Mailing address

7530 E Angus Dr
Scottsdale, AZ 85251-6410
Phone (480) 947-5379

Other identifiers 2

IdentifierTypeStateIssuer
10915OtherAZLISAC
10982OtherAZLPC

Other names 1

  • Psychological Counseling Services Other name

National Provider Directory

National Provider Directory
Tax ID family
Psychological Counseling Services LTD3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

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": "1180828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326240243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7530 E ANGUS DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852516410",
            "telephone_number": "480-947-5379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14815 E LOOKOUT LEDGE",
            "city": "FOUNTAIN HILLS",
            "state": "AZ",
            "postal_code": "852686408",
            "telephone_number": "480-236-6682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOLOGICAL COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EARLE",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "480-947-5739",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "AZ",
            "license": "10982",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LISAC",
            "identifier": "10915",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC",
            "identifier": "10982",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Psychological Counseling Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fountain Hills, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.