Dejaye Botkin, MA, LPC, NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

37PC00326200

Practice address

101 W 5TH St
Tempe, AZ 85281-0400

Phone

(203) 609-1714

NPI assigned

Oct 21, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dejaye Botkin-Radiotis Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/20964/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Extinguishing Fear Life Coaching

  • Professional Counselor
  • Phoenix, AZ
  • NPI 1851934012
  NPD Authorized official

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491523200000",
    "number": "1457503575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W 5TH ST",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852810400",
            "telephone_number": "203-609-1714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W 5TH ST",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852810400",
            "telephone_number": "203-609-1714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTKIN",
        "first_name": "DEJAYE",
        "name_prefix": "Prof.",
        "credential": "MA, LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-21",
        "last_updated": "2017-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": "37PC00326200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEJAYE",
            "last_name": "BOTKIN-RADIOTIS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stephen Lawrence Borodkin, M.D.
• Sophie Helen Borowski, LCSW 10013
• Clinton Robert Boscamp, D.D.S.
• Lauren Boskie
• Tony Joseph Botelho
• Elena Castillo Boushley, SLPA
• Keron Bowen
• Melissa Marie Bowen, LCSW
• Chaise Bowman, DPT
• Bows Center

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2017; 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.