NPIMap

Organization Active NPI

Kayenta Counseling Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Kayenta, AZ
National Provider Identifier
1780878801
Registry record updated Aug 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
LCSW-11436 Issued in AZ
Legal business name
KAYENTA COUNSELING SERVICES
Practice address
Highway 163-BLDG-Ka-2010
Kayenta, AZ 86033-0368
Phone
(928) 695-4000
Fax
(928) 697-4189
NPI assigned
Aug 31, 2007
Last updated
Aug 31, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2007

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

Authorized official

Name
Mrs. Anna Boone, LCSWNPI 1164610879
Title
Supervisory Social Worker
Phone
(928) 697-4185

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X LCSW-11436 AZ Primary

Addresses

Primary practice location

Highway 163-BLDG-Ka-2010
Kayenta, AZ 86033-0368

Mailing address

PO Box 368
Kayenta, AZ 86033-0368
Phone (928) 695-4000

Other names 1

  • Kayenta Health Center Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1188518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188518400000",
    "number": "1780878801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 368",
            "city": "KAYENTA",
            "state": "AZ",
            "postal_code": "860330368",
            "telephone_number": "928-695-4000",
            "fax_number": "928-697-4189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HIGHWAY 163-BLDG-KA-2010",
            "city": "KAYENTA",
            "state": "AZ",
            "postal_code": "860330368",
            "telephone_number": "928-695-4000",
            "fax_number": "928-697-4189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAYENTA COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-31",
        "last_updated": "2007-08-31",
        "status": "A",
        "authorized_official_last_name": "BOONE",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "SUPERVISORY SOCIAL WORKER",
        "authorized_official_telephone_number": "928-697-4185",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "AZ",
            "license": "LCSW-11436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kayenta Health Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Kayenta, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2007; 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.