Individual provider Active NPI

Nevitta J Mason, LPC

  • Mental Health Counselor
  • Flagstaff, AZ
National Provider Identifier
1588208268
Registry record updated Jan 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC-17995 Issued in AZ
Practice address
460 N Switzer Canyon Dr Ste 400
Flagstaff, AZ 86001-4851
Phone
(928) 288-5454
NPI assigned
Nov 5, 2019
Last updated
Jan 4, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC-17995 AZ Primary
Professional Counselor 101YP2500X 17995 AZ

Addresses

Primary practice location

460 N Switzer Canyon Dr Ste 400
Flagstaff, AZ 86001-4851

Mailing address

6608 E Eagle Crest Dr
Flagstaff, AZ 86004-7140
Phone (928) 600-0601

Other practice location 1

3009 N West St
Flagstaff, AZ 86004-3444
Phone (928) 719-4009

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address nevittamason@rccflagstaff.com Direct
Direct Messaging Address nevitta@nevittamasoncounseling.com Direct

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

LicenseStateTypeSpecialty
LPC-17995AZMDMental Health Counselor
17995AZMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Redemption Counseling Center Professional CurrentSince Nov 17, 2019 Accepting new patients

Locations

3009 N West St
Flagstaff, AZ 86004
Phone 9287194009 ext. 3

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1572912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609718400000",
    "number": "1588208268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6608 E EAGLE CREST DR",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860047140",
            "telephone_number": "928-600-0601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 N SWITZER CANYON DR STE 400",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860014851",
            "telephone_number": "928-288-5454"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3009 N West St",
            "address_purpose": "LOCATION",
            "city": "Flagstaff",
            "state": "AZ",
            "postal_code": "860043444",
            "country_code": "US",
            "telephone_number": "928-719-4009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASON",
        "first_name": "NEVITTA",
        "middle_name": "J",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-05",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LPC-17995",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "17995",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nevittamason@rccflagstaff.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Flagstaff",
            "address_1": "3009 N West St",
            "city": "Flagstaff",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "860043444",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nevitta@nevittamasoncounseling.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "coordination of care",
            "address_1": "460 N Switzer Canyon Dr Ste 400",
            "city": "Flagstaff",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "860014851",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Flagstaff, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2021; 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.