Direct Connect Ventures LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

DIRECT CONNECT VENTURES LLC

Doing business as

Desert Foothills Counseling

Practice address

26 E Baseline Rd Ste 132
Phoenix, AZ 85042-6545

Phone

(602) 362-5100

NPI assigned

Dec 8, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Ivory Kaimaron Price

Title

Ceo

Phone

(520) 371-3782

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Desert Foothills Counseling Doing business as

Locations

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

{
    "created_epoch": "1638921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638921600000",
    "number": "1649939539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 E BASELINE RD STE 132",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850426545",
            "telephone_number": "602-362-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 E BASELINE RD STE 132",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850426545",
            "telephone_number": "602-362-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIRECT CONNECT VENTURES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-08",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-08",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "IVORY",
        "authorized_official_middle_name": "KAIMARON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "520-371-3782",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "069683",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Desert Foothills Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Daniela Dipomazio, CRNA
• John Dipoto, PHARMD
• Trenten James Dippold, PA
• Danielle Dircks
• Direct Connect Ventures (Price Family Services)
• Direct2Md
• Directcare Solutions LLC
• Directing Footsteps LLC
• Daren Dirksen
• Mary Ellen Dirlam, M.D.

• Community/Behavioral Health Agency in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Community/Behavioral Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.