NPIMap

Organization Active NPI

Mountain Springs Counseling P.L.L.C

  • Community/Behavioral Health Agency
  • Show Low, AZ
National Provider Identifier
1881058261
Registry record updated Apr 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
LCSW-13889 Issued in AZ
Legal business name
MOUNTAIN SPRINGS COUNSELING P.L.L.C
Practice address
580 E Old Linden Rd Ste 6
Show Low, AZ 85901-4817
Phone
(928) 892-2689
NPI assigned
Apr 11, 2016
Last updated
Apr 11, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2016

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

Authorized official

Name
Melissa StarkelNPI 1881033132
Title
Ceo/Owner
Phone
(928) 892-2689

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
Community/Behavioral Health Agency 251S00000X LCSW-13889 AZ Primary

Addresses

Primary practice location

580 E Old Linden Rd Ste 6
Show Low, AZ 85901-4817

Mailing address

PO Box 3490
Show Low, AZ 85902-3490
Phone (928) 892-2689

Other identifiers 1

IdentifierTypeStateIssuer
863988MedicaidAZ

National Provider Directory

National Provider Directory

Locations

580 E Old Linden Rd
Ste 6
Show Low, AZ 85901
Phone (928) 228-5655

Practitioners & affiliated clinicians

Practitioners 10

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": "1460332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460332800000",
    "number": "1881058261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3490",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859023490",
            "telephone_number": "928-892-2689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 E OLD LINDEN RD STE 6",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859014817",
            "telephone_number": "928-892-2689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN SPRINGS COUNSELING P.L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-11",
        "last_updated": "2016-04-11",
        "status": "A",
        "authorized_official_last_name": "STARKEL",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "928-892-2689"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": "LCSW-13889",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "863988",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Show Low, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2016; 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.