Organization Active NPI

Copperleaf Behavioral Health

  • Mental Health Counselor
  • Scenic, AZ
National Provider Identifier
1730095134
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
COPPERLEAF BEHAVIORAL HEALTH
Practice address
3929 S Shivwits Dr
Scenic, AZ 86432-3383
Phone
(435) 705-7574
NPI assigned
Aug 24, 2026
Last updated
Aug 24, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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

Authorized official

Name
Tasha Lopez
Title
Licesning
Phone
(435) 705-7574

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

3929 S Shivwits Dr
Scenic, AZ 86432-3383

Mailing address

4539 N 22ND St Ste N
Phoenix, AZ 85016-4639
Phone (435) 705-7574

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1787529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787529600000",
    "number": "1730095134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4539 N 22ND ST STE N",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164639",
            "telephone_number": "435-705-7574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3929 S SHIVWITS DR",
            "city": "SCENIC",
            "state": "AZ",
            "postal_code": "864323383",
            "telephone_number": "435-705-7574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COPPERLEAF BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-24",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "TASHA",
        "authorized_official_title_or_position": "LICESNING",
        "authorized_official_telephone_number": "435-705-7574"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scenic, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; 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.