NPIMap

Organization Active NPI

Community Counseling and Psychotherapy LTD

Doing business as CCP Ltd

  • Clinical Social Worker
  • Phoenix, AZ
National Provider Identifier
1831125293
Registry record updated Aug 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW0026 Issued in AZ
Legal business name
COMMUNITY COUNSELING AND PSYCHOTHERAPY LTD
Doing business as
CCP Ltd
Practice address
11020 N Tatum Blvd
Phoenix, AZ 85028-3841
Phone
(602) 996-8619
Fax
(602) 996-7932
NPI assigned
Jun 25, 2006
Last updated
Aug 28, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2009

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

Authorized official

Name
Mr. Lawrence J Zeger, LCSW
Title
President Clinical Social Worker
Phone
(602) 996-8619

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW0026 AZ Primary

Addresses

Primary practice location

11020 N Tatum Blvd
Phoenix, AZ 85028-3841

Mailing address

11020 N Tatum Blvd
Phoenix, AZ 85028-3841
Phone (602) 996-8619

Other names 1

  • CCP Ltd Doing business as

National Provider Directory

National Provider Directory

Locations

11020 N Tatum Blvd
Phoenix, AZ 85028
Phone (602) 996-0654

11020 N Tatum Blvd
Ste 100
Phoenix, AZ 85028
Phone (602) 996-0654

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251417600000",
    "number": "1831125293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11020 N TATUM BLVD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850283841",
            "telephone_number": "602-996-8619",
            "fax_number": "602-996-7932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11020 N TATUM BLVD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850283841",
            "telephone_number": "602-996-8619",
            "fax_number": "602-996-7932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY COUNSELING AND PSYCHOTHERAPY LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2009-08-28",
        "status": "A",
        "authorized_official_last_name": "ZEGER",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT  CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "602-996-8619",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW0026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CCP Ltd",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2009; 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.