Individual provider Active NPI

Christopher S Sobel, MS

  • Addiction (Substance Use Disorder) Counselor
  • Prescott, AZ
National Provider Identifier
1689281024
Registry record updated Oct 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
LASAC-6715T Issued in AZ
Practice address
214 N Arizona Ave
Prescott, AZ 86301-3104
Phone
(928) 776-8251
NPI assigned
Sep 29, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2021

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 LASAC-15417 AZ
Addiction (Substance Use Disorder) Counselor 101YA0400X LASAC-6715T AZ Primary

Addresses

Primary practice location

214 N Arizona Ave
Prescott, AZ 86301-3104

Mailing address

4960 E Amber Rd
Prescott, AZ 86301-7903
Phone (928) 273-4302

Other identifiers 2

IdentifierTypeStateIssuer
LASAC-15417OtherAZSTATE OF ARIZONA BOARD OF BEHAVIORIAL HEALTH EXAMINERS
LASAC-6715TOtherAZSTATE OF ARIZONA BOARD OF BEHAVIORIAL HEALTH EXAMINERS

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)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LASAC-15417AZMDAddiction (Substance Use Disorder) Counselor
LASAC-6715TAZMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Prescott House Inc PastSince Oct 4, 2020 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1601337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633046400000",
    "number": "1689281024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4960 E AMBER RD",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863017903",
            "telephone_number": "928-273-4302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 N ARIZONA AVE",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863013104",
            "telephone_number": "928-776-8251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOBEL",
        "first_name": "CHRISTOPHER",
        "middle_name": "S",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-29",
        "last_updated": "2021-10-01",
        "certification_date": "2021-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "LASAC-15417",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "LASAC-6715T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF ARIZONA BOARD OF BEHAVIORIAL HEALTH EXAMINERS",
            "identifier": "LASAC-15417",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF ARIZONA BOARD OF BEHAVIORIAL HEALTH EXAMINERS",
            "identifier": "LASAC-6715T",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.