Individual provider Active NPI

Betty Cobb-Dalton, LCSW,LISAC

  • Addiction (Substance Use Disorder) Counselor
  • Peoria, AZ
National Provider Identifier
1609878016
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
LISAC-11448 Issued in AZ
Practice address
13260 N 94TH Dr
Ste. 205
Peoria, AZ 85381-4828
Phone
(623) 556-9910
Fax
(623) 556-9910
NPI assigned
Aug 15, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LISAC-11448 AZ Primary
Clinical Social Worker 1041C0700X LCSW-1702 AZ

Addresses

Primary practice location

13260 N 94TH Dr
Ste. 205
Peoria, AZ 85381-4828

Mailing address

14372 W Kiowa TRL
Surprise, AZ 85374-9650

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
LISAC-11448AZMDAddiction (Substance Use Disorder) Counselor
LCSW-1702AZMDClinical Social Worker
1702AZMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1609878016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14372 W KIOWA TRL",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853749650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13260 N 94TH DR",
            "address_2": "STE. 205",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814828",
            "telephone_number": "623-556-9910",
            "fax_number": "623-556-9910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COBB-DALTON",
        "first_name": "BETTY",
        "credential": "LCSW,LISAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-15",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "LISAC-11448",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-1702",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.