Individual provider Active NPI

Courbyne Bufford

  • Community/Behavioral Health Agency
  • Phoenix, AZ
National Provider Identifier
1932916152
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
OTC6221 Issued in AZ
Practice address
1005 N 1St St
Phoenix, AZ 85004-1924
Phone
(602) 258-1481
NPI assigned
Dec 11, 2024
Last updated
Oct 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X OTC6221 AZ Primary

Addresses

Primary practice location

1005 N 1St St
Phoenix, AZ 85004-1924

Mailing address

11609 N 30TH LN
Phoenix, AZ 85029-3249
Phone (480) 329-5716

Other practice location 1

20325 N 51st Ave Ste 163
Glendale, AZ 85308-5674
Phone (844) 385-3747 ext. 1003

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
OTC6221AZMDCommunity/Behavioral Health Agency

NPI Registry JSON

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

{
    "created_epoch": "1733875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761091200000",
    "number": "1932916152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11609 N 30TH LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850293249",
            "telephone_number": "480-329-5716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 N 1ST ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850041924",
            "telephone_number": "602-258-1481"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20325 N 51st Ave Ste 163",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853085674",
            "country_code": "US",
            "telephone_number": "844-385-3747 x1003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUFFORD",
        "first_name": "COURBYNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-11",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": "OTC6221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2025; 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.