George A Bagube, BHT, SA, M.ED.
Individual provider Active NPI Pastoral Counselor · Kingman, AZ
NPI 1932014123 · NPPES record last updated Aug 14, 2026
Key facts
- NPI
- 1932014123
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pastoral Counselor 101YP1600X
- Practice address
- 1901 Johnson Ave # 3744
Kingman, AZ 86401-6228 - Phone
- (928) 303-7239
- NPI assigned
- Aug 14, 2026
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor |
101YA0400X | |||
| Marriage & Family Therapist |
106H00000X | |||
| Behavior Technician |
106S00000X | |||
| Rehabilitation Counselor |
225C00000X | |||
| Pastoral Counselor |
101YP1600X | Yes |
Addresses
Primary practice location
1901 Johnson Ave # 3744
Kingman, AZ 86401-6228
Mailing address
1901 Johnson Ave # 3744
Kingman, AZ 86401-6228
Phone (928) 303-7239
Other providers in Kingman, AZ
- Rebecca Atkins
- Lauren Ashley Ayala
- Larry Ayers
- Paige Elizabeth Ayers
- Jennifer Lauren Azbill
- Denise Bailey
- Michael Anthony Bailey
- Sophia Helen Bailey
- Aja Baillie
- Amanda Mercedes Baker
All providers in Kingman, AZ · Pastoral Counselor in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 14, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.