Active NPI
Arizona Behavioral Resources, PLLC
- Mental Health Counselor
- Phoenix, AZ
National Provider Identifier
1811215213
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LCSW-12066
- Legal business name
- ARIZONA BEHAVIORAL RESOURCES, PLLC
- Practice address
- 7000 N 16TH St
Suite 120
Phoenix, AZ 85020-5547 - Phone
- (602) 910-5653
- Fax
- (602) 374-4956
- NPI assigned
- May 10, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Carl A. Washington, M.S.W.
- Title
- Proprietor
- Phone
- (602) 910-5653
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LCSW-12066 | AZ | Primary |
Addresses
Primary practice location
7000 N 16TH St
Suite 120
Phoenix, AZ 85020-5547
Mailing address
7000 N 16TH St
Suite 120
Phoenix, AZ 85020-5547
Phone (602) 910-5653
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 527879 | Medicaid | AZ |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273449600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1323216000000",
"number": "1811215213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7000 N 16TH ST",
"address_2": "SUITE 120",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850205547",
"telephone_number": "602-910-5653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7000 N 16TH ST",
"address_2": "SUITE 120",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850205547",
"telephone_number": "602-910-5653",
"fax_number": "602-374-4956"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARIZONA BEHAVIORAL RESOURCES, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-05-10",
"last_updated": "2011-12-07",
"status": "A",
"authorized_official_last_name": "WASHINGTON",
"authorized_official_first_name": "CARL",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "PROPRIETOR",
"authorized_official_telephone_number": "602-910-5653",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "M.S.W."
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "AZ",
"license": "LCSW-12066",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "527879",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
- Arizona Behavioral Counseling and Education Inc
- Arizona Behavioral Health
- Arizona Behavioral Health Center
- Arizona Behavioral Home Health
- Arizona Behavioral Home Health Services LLC
- Arizona Behavioral Wellness
- Arizona Bleeding Disorders Health and Wellness Center
- Arizona Bluesky Counseling, LLC
- Arizona Bone & Joint Surgeons LTD
- Arizona Bone Joint and Sports Medicine Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.