NPIMap

Organization Active NPI

West Yavapai Guidance Clinic, Inc.

  • Mental Health Counselor
  • Prescott Valley, AZ
National Provider Identifier
1639367105
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
WEST YAVAPAI GUIDANCE CLINIC, INC.
Practice address
3343 N Windsong Dr
Prescott Valley, AZ 86314-1213
Phone
(928) 445-5211
Fax
(928) 776-8484
NPI assigned
Oct 10, 2007
Reactivated
Sep 21, 2018
Organization subpart
Yes
Parent organization
WEST YAVAPAI GUIDANCE CLINIC, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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

Authorized official

Name
Luis Gonzalez
Title
Ceo
Phone
(928) 445-5211

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
Psychiatric Hospital 283Q00000X BH 309 AZ
Substance Abuse Rehabilitation Facility 324500000X BH 309 AZ

Addresses

Primary practice location

3343 N Windsong Dr
Prescott Valley, AZ 86314-1213

Mailing address

3343 N Windsong Dr
Prescott Valley, AZ 86314-1213
Phone (928) 445-5211

Other names 2

  • Polara Health Doing business as
  • Windhaven Psychiatric Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, TX, VA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20040526000422 AZ Part B Supplier - Clinic/Group Practice 3375524358 Receives reassigned benefits from 23 practitioners
16 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Prescott, AZ; Prescott Valley, AZ; Chino Valley, AZ; Camp Verde, AZ
O20201023000132 TX Part B Supplier - Clinic/Group Practice 3375524358 Receives reassigned benefits from 1 practitioner
Practice locations: Midlothian, TX
O20201117002207 VA Part B Supplier - Clinic/Group Practice 3375524358 Receives reassigned benefits from 1 practitioner
Practice locations: Chesapeake, VA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 14

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 14

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D0971787West Yavapai Guidance Clinic3343 N Windsong Dr, Prescott Valley, AZ 86314Certificate of waiverMar 20, 2028

National Provider Directory

National Provider Directory
Part of
West Yavapai Guidance C

Locations

555 W Road 3 N
Chino Valley, AZ 86323
Phone (520) 636-7682

1055 Ruth St
Ste 6
Prescott, AZ 86301
Phone (520) 778-4711

642 Dameron Dr
Prescott, AZ 86301
Phone 9284455211189

8655 E Eastridge Rd
Prescott Valley, AZ 86314

3397 N Windsong Dr
Prescott Valley, AZ 86314

Practitioners & affiliated clinicians

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1191974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788912000000",
    "number": "1639367105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3343 N WINDSONG DR",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863141213",
            "telephone_number": "928-445-5211",
            "fax_number": "928-776-8484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3343 N WINDSONG DR",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863141213",
            "telephone_number": "928-445-5211",
            "fax_number": "928-776-8484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST YAVAPAI GUIDANCE CLINIC, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WEST YAVAPAI GUIDANCE CLINIC, INC.",
        "enumeration_date": "2007-10-10",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "deactivation_date": "2018-08-08",
        "reactivation_date": "2018-09-21",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "LUIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "928-445-5211"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "AZ",
            "license": "BH 309",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "AZ",
            "license": "BH 309",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Polara Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Windhaven Psychiatric Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Windhaven Psychiatric Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Prescott Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.