Active NPI
Cheryl Dehaven, MA, LPC, NCC
- Professional Counselor
- Bisbee, AZ
National Provider Identifier
1447738844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC-17283
- Practice address
- 24 Howell Ave
Suite 11
Bisbee, AZ 85603-8562 - Phone
- (520) 678-5851
- NPI assigned
- Jul 30, 2018
- Last updated
- Jul 30, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC-17283 | AZ | Primary |
Addresses
Primary practice location
24 Howell Ave
Suite 11
Bisbee, AZ 85603-8562
Mailing address
830 N Highway 191
Pearce, AZ 85625-4064
Phone (520) 678-5851
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC-17283 | AZ | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532908800000",
"number": "1447738844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "830 N HIGHWAY 191",
"city": "PEARCE",
"state": "AZ",
"postal_code": "856254064",
"telephone_number": "520-678-5851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 HOWELL AVE",
"address_2": "SUITE 11",
"city": "BISBEE",
"state": "AZ",
"postal_code": "856038562",
"telephone_number": "520-678-5851"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEHAVEN",
"first_name": "CHERYL",
"credential": "MA, LPC, NCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-07-30",
"last_updated": "2018-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AZ",
"license": "LPC-17283",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bisbee, AZ
- City of Bisbee Ambulance
- Cochise County
- W Patrick Coghlan, MD
- Community Bridges, Inc. (Women's Transition Project)
- Community Intervention Associates, Inc. (Community Intervention Associates)
- Arleene Evelynne Djordjevic, FNP
- Daniel Abram Driscoll, MD/PHD
- Jennifer E. Druckman, LCSW
- Jessica Lee Fontes, MD
- Frances Jones Dba Oxicheck NW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.