Supreme Counsel PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

SUPREME COUNSEL PLLC

Practice address

20 E Thomas Rd Ste 2200
Phoenix, AZ 85012-3133

Phone

(602) 693-2826

NPI assigned

Sep 22, 2021

Organization subpart

No

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

Authorized official

Name

Duse-Timothy Lamont Coates, MS

Title

Owner- Clinical Director

Phone

(602) 693-2826

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1632268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632268800000",
    "number": "1902577745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 E THOMAS RD STE 2200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850123133",
            "telephone_number": "602-693-2826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 E THOMAS RD STE 2200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850123133",
            "telephone_number": "602-693-2826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPREME COUNSEL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-22",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A",
        "authorized_official_last_name": "COATES",
        "authorized_official_first_name": "DUSE-TIMOTHY",
        "authorized_official_middle_name": "LAMONT",
        "authorized_official_title_or_position": "OWNER- CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "602-693-2826",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "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 Sep 22, 2021; 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.