COMMUNITY PROVIDER OF ENRICHMENT SERVICES, INC.


Address: 2002 W Calle Pacifica, Tucson, AZ 85745-2117
Phone: 5203494486

COMMUNITY PROVIDER OF ENRICHMENT SERVICES, INC. (NPI# 1053695130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053695130
Entity Type Organization
Organization Name COMMUNITY PROVIDER OF ENRICHMENT SERVICES, INC.
Other Organization Name CPES; COUNSELING AND CONSULTING SERVICES
Practice Address 2002 W Calle Pacifica
Tucson
AZ 85745-2117
Mailing Address 4825 N Sabino Canyon Rd
Tucson
AZ 85750-6427
Practice Telephone 5203494486
Enumeration Date 2011-10-06
Last Update Date 2011-10-06
Authorized Official Name ROGER DESHAIES (CEO)
Authorized Official Telephone 5208847954
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health BH-3946 AZ Agencies

Other Provider Identifier

State Issuer Identifier Type Code
AZ ARIZONA DEPT. OF HEALTH SERVICES, OFFICE OF BEHAVIORAL HEALTH SE BH-3946 01

Other Provider/Organization Names

Other Name Type Code
CPES; Counseling and Consulting Services Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1922304062 Community Provider of Enrichment Services, Inc. Community/Behavioral Health 419 N Colorado St, Casa Grande, AZ 85122-5314 2011-02-08
1629210851 Community Provider of Enrichment Services, Inc. Community/Behavioral Health 14921 W Camdon Dr, Casa Grande, AZ 85294-7207 2009-04-02
1124192950 Community Provider of Enrichment Services, Inc. Day Training, Developmentally Disabled Services 4805 E Speedway Blvd, Tucson, AZ 85712-4732 2006-11-20
1407928575 Community Provider of Enrichment Services, Inc. Community/Behavioral Health 355 W 24th St, Tucson, AZ 85701 2006-11-14
1679645741 Community Provider of Enrichment Services, Inc. Community/Behavioral Health 4873 E 12th St, Tucson, AZ 85711-3603 2006-11-14
1922170018 Community Provider of Enrichment Services, Inc. Community/Behavioral Health 5548 N Grande Ave, Tucson, AZ 85704-2642 2006-11-14
1912010810 Community Provider of Enrichment Services, Inc. Community/Behavioral Health 4825 N Sabino Canyon Rd, Tucson, AZ 85750-6427 2006-08-16
1124301726 Community Provider of Enrichment Services, Inc. Community/Behavioral Health 419 N San Francisco St, Flagstaff, AZ 86001-4631 2011-09-21

Office Location

Street Address 2002 W CALLE PACIFICA
City TUCSON
State AZ
Zip Code 85745-2117

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1194230672 Pascua Yaqui Tribe Community/Behavioral Health 1701 W. St. Mary's Road, Suite 120, Tucson, AZ 85745 2017-12-06
1891207106 Intermountain Health Center, Inc. Community/Behavioral Health 1100 W. Fresno Street, Tucson, AZ 85745 2017-10-26
1497270664 Skin Concierge, LLC. Dermatology 1310 W. St. Mary's Road, 2nd Floor, Suite A, Tucson, AZ 85745 2017-08-09
1801334941 Katie Flores Physical Therapist 1604 W St Mary's Rd, Tucson, AZ 85745 2017-02-09
1558717348 Jeongfill Yun Student in an Organized Health Care Education/Training Program 8290 W Congress St., Tucson, AZ 85745 2016-05-11
1417317082 Nebsource LLC Durable Medical Equipment & Medical Supplies 4890 W Camino De La Amapola, Tucson, AZ 85745 2016-02-25
1548661358 Melinda Godoy Pharmacist 879 W Congress, Tucson, AZ 85745 2014-09-11
1811333925 Asdb Clinic/Center 1200 West Speedway, Tucson, AZ 85745 2013-05-15
1669722385 David L. Lewis Counselor 1779 W. St. Mary's Rd, Tucson, AZ 85745 2012-09-11
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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1265047435 Sarah Mcmillan Counseling Pllc Community/Behavioral Health 6460 E Grant Rd # 30661, Tucson, AZ 85715-8800 2020-09-14
1851902274 Connections Counseling Inc Community/Behavioral Health 450 E Navajo Rd, Tucson, AZ 85705-3939 2020-08-10
1619503224 Willingness Counseling Pllc Community/Behavioral Health 5775 S Saddle Ridge Ln, Tucson, AZ 85746-3635 2020-03-14
1174162143 Buena Vista Recovery, LLC Community/Behavioral Health 5151 E Pima St Ste 110, Tucson, AZ 85712-3627 2019-12-23
1053877639 Getaway Advanced Services LLC Community/Behavioral Health 3780 E Felix Blvd, Tucson, AZ 85706-1926 2019-02-19
1255815577 Jane St. Perre Community/Behavioral Health 1955 W Grant Rd Ste 125p, Tucson, AZ 85745-1471 2018-09-21
1225519416 The University of Arizona Community/Behavioral Health 4210 N Campbell Ave, Tucson, AZ 85719-1109 2018-08-24
1497244214 Sage Counseling, Inc. Community/Behavioral Health 2221 E Broadway Blvd Ste 200, Tucson, AZ 85719-6032 2018-05-07
1316440241 Rob Zonfrelli Counseling LLC Community/Behavioral Health 10501 E Seven Generations Way Ste 121, Tucson, AZ 85747-5828 2018-03-16
1730681685 Casa De Los Ninos, Inc. Community/Behavioral Health 1120 N 5th Avenue, Tucson, AZ 85705 2018-03-07
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Competitor

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City TUCSON
Zip Code 85745

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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