Organization Active NPI

Cornerstone Counseling Services of Arizona

  • Community/Behavioral Health Agency
  • Prescott, AZ
National Provider Identifier
1487003190
Registry record updated Jan 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
LCSW-13864 Issued in AZ
Legal business name
CORNERSTONE COUNSELING SERVICES OF ARIZONA
Practice address
3611 Crossings Dr Ste a
Prescott, AZ 86305-7181
Phone
(928) 232-0168
Fax
(928) 232-0168
NPI assigned
Jun 3, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2024

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

Authorized official

Name
Scott KerrNPI 1265856991
Title
Owner
Phone
(480) 386-2562

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X LCSW-13864 AZ Primary

Addresses

Primary practice location

3611 Crossings Dr Ste a
Prescott, AZ 86305-7181

Mailing address

3755 E Broadway Rd Apt 56
Mesa, AZ 85206-1056

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220725002455 AZ Part B Supplier - Clinic/Group Practice 7214318039 Receives reassigned benefits from 1 practitioner
Practice locations: Prescott, AZ

National Provider Directory

National Provider Directory

Locations

3611 Crossings Dr
Ste A
Prescott, AZ 86305
Phone (928) 232-0168

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1464912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704585600000",
    "number": "1487003190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3755 E BROADWAY RD APT 56",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852061056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3611 CROSSINGS DR STE A",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863057181",
            "telephone_number": "928-232-0168",
            "fax_number": "928-232-0168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE COUNSELING SERVICES OF ARIZONA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-03",
        "last_updated": "2024-01-07",
        "certification_date": "2024-01-07",
        "status": "A",
        "authorized_official_last_name": "KERR",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-386-2562"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": "LCSW-13864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2024; 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.