Organization Active NPI

Circle Mountain Counseling, LLC

  • Professional Counselor
  • Surprise, AZ
National Provider Identifier
1982942553
Registry record updated Jan 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-10557 Issued in AZ
Legal business name
CIRCLE MOUNTAIN COUNSELING, LLC
Practice address
18789 N Reems Rd Ste 260
Surprise, AZ 85374-8648
Phone
(623) 432-0668
NPI assigned
Jan 16, 2013
Organization subpart
Yes
Parent organization
CIRCLE MOUNTAIN COUNSELING, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 16, 2013

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

Authorized official

Name
Mrs. April Elise Lain, LISACNPI 1083042741
Title
Counselor Co-Owner
Phone
(623) 210-5951

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YA0400X LISAC10221 AZ
Addiction (Substance Use Disorder) CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YA0400X LISAC1250 AZ
Professional CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YP2500X LPC-10557 AZ Primary

Addresses

Primary practice location

18789 N Reems Rd Ste 260
Surprise, AZ 85374-8648

Mailing address

18789 N Reems Rd Ste 260
Surprise, AZ 85374-8648
Phone (623) 432-0668

National Provider Directory

National Provider Directory
Part of
Circle Mountain Counseling LLC

Practitioners & affiliated clinicians

Practitioners 1

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": "1358294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358294400000",
    "number": "1982942553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18789 N REEMS RD STE 260",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853748648",
            "telephone_number": "623-432-0668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18789 N REEMS RD STE 260",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853748648",
            "telephone_number": "623-432-0668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIRCLE MOUNTAIN COUNSELING, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CIRCLE MOUNTAIN COUNSELING, LLC",
        "enumeration_date": "2013-01-16",
        "last_updated": "2013-01-16",
        "status": "A",
        "authorized_official_last_name": "LAIN",
        "authorized_official_first_name": "APRIL",
        "authorized_official_middle_name": "ELISE",
        "authorized_official_title_or_position": "COUNSELOR CO-OWNER",
        "authorized_official_telephone_number": "623-210-5951",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LISAC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "LISAC10221",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "LISAC1250",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-10557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Surprise, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2013; 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.