Organization Active NPI

Collaborative Counseling Institute LLC

  • Marriage & Family Therapist
  • Gilbert, AZ
National Provider Identifier
1689444309
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
COLLABORATIVE COUNSELING INSTITUTE LLC
Practice address
633 E Ray Rd Ste 111
Gilbert, AZ 85296-4202
Phone
(602) 821-2577
NPI assigned
Jan 3, 2024
Last updated
Jan 3, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

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

Authorized official

Name
Melanie Scott, LMFTNPI 1255200242
Title
Co-Owner
Phone
(602) 821-2577

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)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Marriage & Family Therapist 106H00000X NU Primary

Addresses

Primary practice location

633 E Ray Rd Ste 111
Gilbert, AZ 85296-4202

Mailing address

633 E Ray Rd Ste 111
Gilbert, AZ 85296-4202
Phone (602) 821-2577

National Provider Directory

National Provider Directory

Locations

633 E Ray Rd
Ste 111
Gilbert, AZ 85296
Phone (480) 665-8759

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1704240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704240000000",
    "number": "1689444309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 E RAY RD STE 111",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852964202",
            "telephone_number": "602-821-2577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 E RAY RD STE 111",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852964202",
            "telephone_number": "602-821-2577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLABORATIVE COUNSELING INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-03",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "602-821-2577",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; 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.