Organization Active NPI

Arizona Counseling & Treatment Services, L.L.C.

  • Community/Behavioral Health Agency
  • Arizona City, AZ
National Provider Identifier
1932420403
Registry record updated Jun 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
BH-3609 Issued in AZ
Legal business name
ARIZONA COUNSELING & TREATMENT SERVICES, L.L.C.
Practice address
13100 S. Sunland Gin Rd., Ste. 1
Arizona City, AZ 85123
Phone
(928) 376-0220
Fax
(928) 376-0709
NPI assigned
Jun 18, 2010
Last updated
Jun 18, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
ARIZONA COUNSELING & TREATMENT SERVICES, L.L.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 18, 2010

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

Authorized official

Name
Mr. Fred Cogburn
Title
Chief Operating Officer
Phone
(928) 376-0220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X BH-3609 AZ Primary

Addresses

Primary practice location

13100 S. Sunland Gin Rd., Ste. 1
Arizona City, AZ 85123

Mailing address

2573 S Arizona Ave Ste D
Yuma, AZ 85364-7336
Phone (928) 376-0220

National Provider Directory

National Provider Directory
Tax ID family
Arizona Counseling Treatment Servcies5 organizations share this tax ID, including this one
Part of
Arizona Counseling Treatment Servcies

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

13100 S Sunland Gin Rd
Ste 1
Arizona City, AZ 85123

Practitioners & affiliated clinicians

Practitioners 2

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": "1276819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276819200000",
    "number": "1932420403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2573 S ARIZONA AVE STE D",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853647336",
            "telephone_number": "928-376-0220",
            "fax_number": "928-376-0709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13100 S. SUNLAND GIN RD., STE. 1",
            "city": "ARIZONA CITY",
            "state": "AZ",
            "postal_code": "85123",
            "telephone_number": "928-376-0220",
            "fax_number": "928-376-0709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA COUNSELING & TREATMENT SERVICES, L.L.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ARIZONA COUNSELING & TREATMENT SERVICES, L.L.C.",
        "enumeration_date": "2010-06-18",
        "last_updated": "2010-06-18",
        "status": "A",
        "authorized_official_last_name": "COGBURN",
        "authorized_official_first_name": "FRED",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "928-376-0220",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": "BH-3609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arizona City, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2010; 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.