NPIMap

Organization Active NPI

Chinle Outpatient Treatment Center

  • Community/Behavioral Health Agency
  • Chinle, AZ
National Provider Identifier
1356555387
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CHINLE OUTPATIENT TREATMENT CENTER
Practice address
Navajo Route 7, Duplex Unit 2004
Chinle, AZ 86503-0777
Phone
(928) 674-2190
Fax
(928) 674-2196
NPI assigned
May 9, 2007
Last updated
Aug 4, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

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

Authorized official

Name
Janell Dickson, LPCNPI 1538697396
Title
Behavioral Health Director
Phone
(928) 657-8000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

Navajo Route 7, Duplex Unit 2004
Chinle, AZ 86503-0777

Mailing address

PO Box 777
Chinle, AZ 86503-0777
Phone (928) 674-2190

Other identifiers 1

IdentifierTypeStateIssuer
329533OtherAZAHCCCS

Other names 1

  • Outpatient Treatment Center Other name

National Provider Directory

National Provider Directory
Tax ID family
Chinle Outpatient Treatment Center18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

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

View all 17

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": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785801600000",
    "number": "1356555387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 777",
            "city": "CHINLE",
            "state": "AZ",
            "postal_code": "865030777",
            "telephone_number": "928-674-2190",
            "fax_number": "928-674-2196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NAVAJO ROUTE 7, DUPLEX UNIT 2004",
            "city": "CHINLE",
            "state": "AZ",
            "postal_code": "865030777",
            "telephone_number": "928-674-2190",
            "fax_number": "928-674-2196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHINLE OUTPATIENT TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A",
        "authorized_official_last_name": "DICKSON",
        "authorized_official_first_name": "JANELL",
        "authorized_official_title_or_position": "BEHAVIORAL HEALTH DIRECTOR",
        "authorized_official_telephone_number": "928-657-8000",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS",
            "identifier": "329533",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Outpatient Treatment Center",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Outpatient Treatment Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chinle, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; 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.