Direct Connect Ventures LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

OTC6593 Issued in AZ

Legal business name

DIRECT CONNECT VENTURES LLC

Doing business as

Desert Foothills Counseling

Practice address

1760 E Villa Dr Ste a
Cottonwood, AZ 86326-4679

Phone

(520) 371-3782

NPI assigned

Nov 24, 2015

Last updated

Mar 8, 2022By 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

Mr. Ivory Kaimaron Price

Title

Ceo

Phone

(520) 371-3782

Specialties & licenses 7

Addresses

Other identifiers 2

Other names 1

• Desert Foothills Counseling Doing business as

Locations

Practitioners 2

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.

• Cathleen Elizabeth Kennedy, LPC

  • Counseling Psychologist
  • Cottonwood, AZ
  • NPI 1982318200
  NPD (past)
• Ana Williams, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Mesa, AZ
  • NPI 1548741812
  NPD (past)

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

{
    "created_epoch": "1448323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646697600000",
    "number": "1730553058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 E BASELINE RD",
            "address_2": "SUITE 132",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850426951",
            "telephone_number": "602-362-5100",
            "fax_number": "928-646-7153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 E VILLA DR STE A",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863264679",
            "telephone_number": "520-371-3782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIRECT CONNECT VENTURES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-24",
        "last_updated": "2022-03-08",
        "certification_date": "2022-03-08",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "IVORY",
        "authorized_official_middle_name": "KAIMARON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "520-371-3782",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2055X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Mental Illness, Child",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": "OTC6593",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1548741812",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1649939539",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Desert Foothills Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gurneet Singh Dhingra, M.D.
• Mindy Diehl, FNP-C
• Hydie L. Henson Digiovanni, PSY.D.
• Dignity First Inc. (Home Sweet Home)
• Lindsey Holland Dinh, PHARMD
• Joe Dale Ditterline, D.M.D.
• Jessica Dixon
• Donald J Curran DO PLLC
• Rhythm Doomra, MBBS
• Rose Dopplick, RPH

• Community/Behavioral Health Agency in Cottonwood, AZ
• Providers in Cottonwood, AZ by specialty
• Community/Behavioral Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2022; 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.