Extinguishing Fear Life Coaching

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

EXTINGUISHING FEAR LIFE COACHING

Practice address

4435 E Chandler Blvd
Phoenix, AZ 85048-7649

Phone

(203) 609-1714

NPI assigned

Oct 21, 2019

Organization subpart

No

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

Authorized official

Name

Dejaye Botkin, LPCNPI 1457503575

Title

Owner

Phone

(203) 609-1714

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Dejaye Botkin, MA, LPC, NCC

  • Professional Counselor
  • Tempe, AZ
  • NPI 1457503575
  NPD Authorized official

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

{
    "created_epoch": "1571616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571616000000",
    "number": "1851934012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4435 E CHANDLER BLVD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850487649",
            "telephone_number": "203-609-1714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4435 E CHANDLER BLVD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850487649",
            "telephone_number": "203-609-1714"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7272 E Indian School Rd",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852513921",
            "country_code": "US",
            "telephone_number": "203-609-1714",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EXTINGUISHING FEAR LIFE COACHING",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-21",
        "last_updated": "2019-10-21",
        "status": "A",
        "authorized_official_last_name": "BOTKIN",
        "authorized_official_first_name": "DEJAYE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-609-1714",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2019; 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.