Dynamic Counseling and Coaching Solutions, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC-15992 Issued in AZ

Legal business name

DYNAMIC COUNSELING AND COACHING SOLUTIONS, LLC

Practice address

13201 N 35TH Ave Ste 5B
Phoenix, AZ 85029-1231

Phone

(602) 777-1268

Fax

(866) 251-5468

NPI assigned

Jul 24, 2017

Last updated

Mar 1, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Erica Shumate Sims, LPCNPI 1891248381

Title

Ceo

Phone

(602) 777-1268

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 2

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.

• Erica Sims, LPC

  • Mental Health Counselor
  • Phoenix, AZ
  • NPI 1891248381

  Professional

  Medicare reassignment Care Compare group NPD Authorized official
• Stacie Ann Townsend, LPC

  • Professional Counselor
  • Phoenix, AZ
  • NPI 1467799015
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1500854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551398400000",
    "number": "1417470287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24654 N LAKE PLEASANT PKWY",
            "address_2": "# 103-328",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853831359",
            "telephone_number": "602-777-1268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13201 N 35TH AVE STE 5B",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850291231",
            "telephone_number": "602-777-1268",
            "fax_number": "866-251-5468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC COUNSELING AND COACHING SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-24",
        "last_updated": "2019-03-01",
        "status": "A",
        "authorized_official_last_name": "SIMS",
        "authorized_official_first_name": "ERICA",
        "authorized_official_middle_name": "SHUMATE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-777-1268",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "LPC-15992",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-15992",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "230114",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1891248381",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashton W Dykert, M.D.
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• Erica Jane Dykstra, FNP-C
• Dymphna, LLC (Sacred Path Counseling)
• Dynamic Dental Health Associates of Arizona (Mountainside Family Dental)
• Dynamic Foot and Ankle, PLLC
• Dynamic Kids Therapy Az LLC
• Dynamic Living Counseling Inc
• Dynamic Medical Systems, Inc.

• Professional Counselor in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Professional Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.