Organization Active NPI

Confidential Counseling & Consulting LLC

  • Professional Counselor
  • Phoenix, AZ
National Provider Identifier
1992225189
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
CONFIDENTIAL COUNSELING & CONSULTING LLC
Practice address
10201 S 51St St Ste 130
Phoenix, AZ 85044-5226
Phone
(336) 392-7099
NPI assigned
Jun 20, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Tyra DavenportNPI 1740567759
Title
Owner
Phone
(336) 392-7099

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
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

10201 S 51St St Ste 130
Phoenix, AZ 85044-5226

Mailing address

PO Box 6346
Chandler, AZ 85246-6346
Phone (336) 392-7099

Other practice location 1

10201 S 51st St Ste 130
Phoenix, AZ 85044-5226
Phone (336) 392-7099

National Provider Directory

National Provider Directory

Locations

10201 S 51st St
Ste 130
Phoenix, AZ 85044
Phone (602) 429-9811

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1497916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1992225189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6346",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852466346",
            "telephone_number": "336-392-7099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10201 S 51ST ST STE 130",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850445226",
            "telephone_number": "336-392-7099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10201 S 51st St Ste 130",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850445226",
            "country_code": "US",
            "telephone_number": "336-392-7099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CONFIDENTIAL COUNSELING & CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-20",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "DAVENPORT",
        "authorized_official_first_name": "TYRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-392-7099"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "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 Mar 17, 2018; 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.