NPIMap

Organization Active NPI

Nazcare, Inc - Pride Wellness Center

  • Mental Health Counselor
  • Parker, AZ
National Provider Identifier
1679910202
Registry record updated May 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
NAZCARE, INC - PRIDE WELLNESS CENTER
Practice address
1112 W Arizona Ave
Suite 4
Parker, AZ 85344-5766
Phone
(928) 442-9205
NPI assigned
May 22, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2013

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

Authorized official

Name
Roberta Lynne Howard
Title
Chief Executive Officer
Phone
(928) 442-9205

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

1112 W Arizona Ave
Suite 4
Parker, AZ 85344-5766

Mailing address

599 White Spar Rd
Prescott, AZ 86303-4627
Phone (928) 442-9205

National Provider Directory

National Provider Directory
Tax ID family
Nazcare Inc - Care Wellness Center19 organizations share this tax ID, including this one

Other organizations with this tax ID 18

Organizations that report the same tax identification number in the National Provider Directory.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1369180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369180800000",
    "number": "1679910202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "599 WHITE SPAR RD",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863034627",
            "telephone_number": "928-442-9205",
            "fax_number": "602-535-3230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 W ARIZONA AVE",
            "address_2": "SUITE 4",
            "city": "PARKER",
            "state": "AZ",
            "postal_code": "853445766",
            "telephone_number": "928-442-9205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAZCARE, INC - PRIDE WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-22",
        "last_updated": "2013-05-22",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "ROBERTA",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "928-442-9205"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parker, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2013; 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.