Desert Eagle Counseling Services, PLLC

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

License

LPC-13746 Issued in AZ

Legal business name

DESERT EAGLE COUNSELING SERVICES, PLLC

Practice address

1835 W Chandler Blvd Ste 100
Chandler, AZ 85224-5286

Phone

(480) 269-1733

NPI assigned

Feb 27, 2014

Last updated

Sep 4, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Johnny Jason Buck, LPC

Title

Owner

Phone

(480) 269-1733

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1393459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441324800000",
    "number": "1730504796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1835 W CHANDLER BLVD STE 100",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852245286",
            "telephone_number": "480-269-1733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1835 W CHANDLER BLVD STE 100",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852245286",
            "telephone_number": "480-269-1733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT EAGLE COUNSELING SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-27",
        "last_updated": "2015-09-04",
        "status": "A",
        "authorized_official_last_name": "BUCK",
        "authorized_official_first_name": "JOHNNY",
        "authorized_official_middle_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-269-1733",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "AZ",
            "license": "LPC-13746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Public Health or Welfare Agency in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Public Health or Welfare Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2015; 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.