Vista Counseling and Consulting. LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

VISTA COUNSELING AND CONSULTING. LLC

Practice address

12725 W Indian School Road E-101
Avondale, AZ 85392-9502

Phone

(602) 857-9797

Fax

(602) 745-4997

NPI assigned

Jul 19, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Kimberly Snyder, PSY.D.

Title

Clinical Psychologist

Phone

(602) 857-9797

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1531958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610928000000",
    "number": "1346726676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 284",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "853404908",
            "telephone_number": "602-857-9797",
            "fax_number": "623-745-4997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12725 W INDIAN SCHOOL ROAD E-101",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853929502",
            "telephone_number": "602-857-9797",
            "fax_number": "602-745-4997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTA COUNSELING AND CONSULTING. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-19",
        "last_updated": "2021-01-18",
        "certification_date": "2021-01-18",
        "status": "A",
        "authorized_official_last_name": "SNYDER",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "602-857-9797",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2021; 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.