Organization Active NPI

Dakota Valley Healing, LLC

  • Professional Counselor
  • Gilbert, AZ
National Provider Identifier
1760158554
Registry record updated Aug 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
DAKOTA VALLEY HEALING, LLC
Practice address
2680 S Val Vista Dr Ste 143
Gilbert, AZ 85295-1621
Phone
(602) 565-4014
NPI assigned
Aug 20, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2021

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

Authorized official

Name
Ulonda Old Coyote
Title
Member
Phone
(602) 565-4014

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary
Community/Behavioral Health Agency 251S00000X
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

2680 S Val Vista Dr Ste 143
Gilbert, AZ 85295-1621

Mailing address

2680 S Val Vista Dr Ste 143
Gilbert, AZ 85295-1621
Phone (602) 565-4014

Other identifiers 1

IdentifierTypeStateIssuer
1801252200MedicaidAZ

National Provider Directory

National Provider Directory

Locations

235 S Dobson Rd
Ste 4
Chandler, AZ 85224

2680 S Val Vista Dr
Ste 143
Gilbert, AZ 85295
Phone (602) 565-4014

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1629417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629417600000",
    "number": "1760158554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2680 S VAL VISTA DR STE 143",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852951621",
            "telephone_number": "602-565-4014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2680 S VAL VISTA DR STE 143",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852951621",
            "telephone_number": "602-565-4014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAKOTA VALLEY HEALING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-20",
        "last_updated": "2021-08-20",
        "certification_date": "2021-08-20",
        "status": "A",
        "authorized_official_last_name": "OLD COYOTE",
        "authorized_official_first_name": "ULONDA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "602-565-4014"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1801252200",
            "state": "AZ"
        }
    ],
    "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 Aug 20, 2021; 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.