Caleb Charles Mitchell, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC-12366 Issued in AZ

Practice address

810 N 6TH Ave
Phoenix, AZ 85003-1318

Phone

(623) 295-9448

NPI assigned

Feb 5, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• The Phoenix Counseling Collective

  • Professional Counselor
  • Phoenix, AZ
  • NPI 1942714613
  NPD Authorized official

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1497894653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 N 6TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850031318",
            "telephone_number": "623-295-9448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 N 6TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850031318",
            "telephone_number": "623-295-9448"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1015 NE 113th St",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981256454",
            "country_code": "US",
            "telephone_number": "206-363-9601 x107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "CALEB",
        "middle_name": "CHARLES",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-05",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00011018",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-12366",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MENTAL HEALTH COUNSELOR",
            "identifier": "LH00011018",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED PROFESSIONAL COUNSELOR",
            "identifier": "LPC-12366",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erin Mitchel, LMP
• Catrina Mitchell-Smith, LPN
• Abbey A Mitchell, LMSW
• Alexis Mitchell
• Andrew Mitchell, PHARMD
• Christopher Mitchell
• Courtney L Mitchell, M.D.
• Davita Denise Mitchell, RNC, NNP
• Dee Ann Mitchell, RN076688
• Derek Mitchell

• 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 Jun 16, 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.

Verify at the official NPI Registry.