Active NPI
George Ross West, L.C.S.W.
- Mental Health Counselor
- Gold Canyon, AZ
National Provider Identifier
1578867685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LCS 21345
- Practice address
- 8374 S Lost Mine Rd
Gold Canyon, AZ 85118-5105 - Phone
- (480) 622-1596
- NPI assigned
- Jan 4, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LCS 21345 | CA | Primary |
Addresses
Primary practice location
8374 S Lost Mine Rd
Gold Canyon, AZ 85118-5105
Mailing address
8374 S Lost Mine Rd
Gold Canyon, AZ 85118-5105
Phone (480) 622-1596
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCS 21345 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441065600000",
"number": "1578867685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8374 S LOST MINE RD",
"city": "GOLD CANYON",
"state": "AZ",
"postal_code": "851185105",
"telephone_number": "480-622-1596"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8374 S LOST MINE RD",
"city": "GOLD CANYON",
"state": "AZ",
"postal_code": "851185105",
"telephone_number": "480-622-1596"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEST",
"first_name": "GEORGE",
"middle_name": "ROSS",
"name_prefix": "Mr.",
"credential": "L.C.S.W.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-01-04",
"last_updated": "2015-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "LCS 21345",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gold Canyon, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.