Active NPI
Desert Path
- Addiction (Substance Use Disorder) Counselor
- Cornville, AZ
National Provider Identifier
1649676040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Legal business name
- DESERT PATH
- Practice address
- 12170 E Cornville Rd
Cornville, AZ 86325-5260 - Phone
- (928) 301-4596
- Fax
- (928) 708-9620
- NPI assigned
- Nov 12, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Linda Cathcart
- Title
- Ceo
- Phone
- (928) 301-4596
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Primary | ||
| Mental Health Counselor | 101YM0800X |
Addresses
Primary practice location
12170 E Cornville Rd
Cornville, AZ 86325-5260
Mailing address
12170 E Cornville Rd
Cornville, AZ 86325-5260
Phone (928) 301-4596
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415750400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1415750400000",
"number": "1649676040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12170 E CORNVILLE RD",
"city": "CORNVILLE",
"state": "AZ",
"postal_code": "863255260",
"telephone_number": "928-301-4596",
"fax_number": "928-708-9620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12170 E CORNVILLE RD",
"city": "CORNVILLE",
"state": "AZ",
"postal_code": "863255260",
"telephone_number": "928-301-4596",
"fax_number": "928-708-9620"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DESERT PATH",
"organizational_subpart": "NO",
"enumeration_date": "2014-11-12",
"last_updated": "2014-11-12",
"status": "A",
"authorized_official_last_name": "CATHCART",
"authorized_official_first_name": "LINDA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "928-301-4596"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cornville, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.