Active NPI
Psychological Counseling Services
- Case Management Agency
- Fountain Hills, AZ
National Provider Identifier
1326240243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- License
- 10982
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10915 | Other | AZ | LISAC |
| 10982 | Other | AZ | LPC |
Other names 1
- Psychological Counseling Services
National Provider Directory
National Provider Directory- Tax ID family
- Psychological Counseling Services LTD
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Professional Counselor
- Scottsdale, AZ
- NPI 1770933285
-
- Community/Behavioral Health Agency
- Scottsdale, AZ
- NPI 1902085541
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Scottsdale, AZ
- NPI 1013249192
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.