Ponderosa Counseling of Arizona

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

PONDEROSA COUNSELING OF ARIZONA

Practice address

240 S Montezuma St Ste 201B
Prescott, AZ 86303-4712

Phone

(303) 506-7709

Fax

(928) 379-5083

NPI assigned

Apr 2, 2024

Last updated

Apr 2, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Deborah Ann Collins, PMHNP-BC, RXNNPI 1205911310

Title

Owner

Phone

(303) 506-7709

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Deborah Ann Collins, RN PNP AND PHMNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Aurora, CO
  • NPI 1205911310
  NPD Authorized official

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

{
    "created_epoch": "1712016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712016000000",
    "number": "1528810769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8546 N PEPPERBOX RD",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863154028",
            "telephone_number": "303-506-7709",
            "fax_number": "928-379-5083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 S MONTEZUMA ST STE 201B",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863034712",
            "telephone_number": "303-506-7709",
            "fax_number": "928-379-5083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PONDEROSA COUNSELING OF ARIZONA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-02",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-506-7709",
        "authorized_official_credential": "PMHNP-BC, RXN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renee Podraza, MA, LPC, LISAC
• Kayla Renee Pokrzywinski, APRN, FNP-C
• Suzann L Polk, APRN-BC
• Micaela Pommerening, PHARMD
• Mary M Poncel, M.D.
• Ponderosa Pediatricss PLC
• Pool Therapy Plus, PLLC
• Carmencita Popa, LMT
• David Pope, LASAC
• Stephanie Porcaro, LMT

• Psychiatric/Mental Health Nurse Practitioner in Prescott, AZ
• Providers in Prescott, AZ by specialty
• Psychiatric/Mental Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; 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.