Individual provider Active NPI

Ciera Adrienne Dumyahn, LPC

  • Professional Counselor
  • Cottonwood, AZ
National Provider Identifier
1902561210
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-23423 Issued in AZ
Practice address
707 E Mingus Ave Ste 400
Cottonwood, AZ 86326-3746
Phone
(928) 649-0447
NPI assigned
Nov 2, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC-23423 AZ Primary

Addresses

Primary practice location

707 E Mingus Ave Ste 400
Cottonwood, AZ 86326-3746

Mailing address

4395 E Bridle Path Rd
Cottonwood, AZ 86326-7605
Phone (928) 254-9118

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LPC-23423AZMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Red Rock Family Services LLC CurrentSince Oct 27, 2024 Accepting new patients

Locations

297 S Willard St
Cottonwood, AZ 86326
Phone (928) 639-9596

707 E Mingus Ave
Ste 400
Cottonwood, AZ 86326
Phone (928) 647-0447

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1635811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1902561210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4395 E BRIDLE PATH RD",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863267605",
            "telephone_number": "928-254-9118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 E MINGUS AVE STE 400",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863263746",
            "telephone_number": "928-649-0447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUMYAHN",
        "first_name": "CIERA",
        "middle_name": "ADRIENNE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-02",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-23423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cottonwood, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; 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.