Prescott Counseling and Consulting, LTD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

3096 Issued in AZ

Legal business name

PRESCOTT COUNSELING AND CONSULTING, LTD

Doing business as

Prescott Counseling Center

Practice address

1515 N San Francisco St
Flagstaff, AZ 86001-1435

Phone

(928) 774-3400

NPI assigned

May 16, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Michelle Dereschuk Gray, PHD

Title

Ceo

Phone

(928) 774-3400

Specialties & licenses 1

Addresses

Other names 1

• Prescott Counseling Center Doing business as

Locations

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236297600000",
    "number": "1699982348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2456",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860032456",
            "telephone_number": "928-774-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 N SAN FRANCISCO ST",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860011435",
            "telephone_number": "928-774-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESCOTT COUNSELING AND CONSULTING, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2009-03-06",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "DERESCHUK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "928-774-3400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "AZ",
            "license": "3096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prescott Counseling Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica Jewel Prange
• Manogjna Ruth Prasad, MD
• Jayne Ginkus Pratt, ARNP-BC
• Steven Pratt
• Praxair Healthcare Services, Inc.
• Prescott Vamc
• Kate Preston, M.D.
• Sarah McNaughton Preston, FNP
• Robin Price
• William Price Jr.

• Psychologist in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Psychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2009; 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.