Active NPI
Cornerstone Counseling Services of Arizona
- Community/Behavioral Health Agency
- Prescott, AZ
National Provider Identifier
1487003190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- LCSW-13864
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Scott Kerr
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Clinical Social Worker
- Prescott, AZ
- NPI 1265856991
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.