NPIMap

Organization Active NPI

Arizona Counseling & Treatment Servcies

  • Community/Behavioral Health Agency
  • Willcox, AZ
National Provider Identifier
1801226303
Registry record updated Nov 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
BH4399 Issued in AZ
Legal business name
ARIZONA COUNSELING & TREATMENT SERVCIES
Practice address
114 & 116 S Arizona Avenue
Willcox, AZ 85644
Phone
(928) 376-0220
Fax
(520) 384-6155
NPI assigned
Nov 19, 2013
Last updated
Nov 19, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
ARIZONA COUNSELING & TREATMENT SERVCIESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 19, 2013

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

Authorized official

Name
Matthew Aaron Burgess
Title
Administrative Specialist
Phone
(928) 919-2373

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X BH4399 AZ Primary

Addresses

Primary practice location

114 & 116 S Arizona Avenue
Willcox, AZ 85644

Mailing address

1590 S 2ND Ave
Yuma, AZ 85364-4728
Phone (928) 376-0220

National Provider Directory

National Provider Directory
Tax ID family
Az Counseling Treatment5 organizations share this tax ID, including this one
Part of
Az Counseling Treatment

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

114 S Arizona Ave
Willcox, AZ 85643
Phone (520) 254-4334

1590 S 2nd Ave
Yuma, AZ 85364

Practitioners & affiliated clinicians

Practitioners 7

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": "1384819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384819200000",
    "number": "1801226303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1590 S 2ND AVE",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853644728",
            "telephone_number": "928-376-0220",
            "fax_number": "928-376-0709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 & 116 S ARIZONA AVENUE",
            "city": "WILLCOX",
            "state": "AZ",
            "postal_code": "85644",
            "telephone_number": "928-376-0220",
            "fax_number": "520-384-6155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA COUNSELING & TREATMENT SERVCIES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ARIZONA COUNSELING & TREATMENT SERVCIES",
        "enumeration_date": "2013-11-19",
        "last_updated": "2013-11-19",
        "status": "A",
        "authorized_official_last_name": "BURGESS",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "AARON",
        "authorized_official_title_or_position": "ADMINISTRATIVE SPECIALIST",
        "authorized_official_telephone_number": "928-919-2373"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": "BH4399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willcox, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2013; 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.