BETHEL J MCCOY (NPI# 1194289124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194289124 |
| Entity Type | Individual |
| Full Name | BETHEL J MCCOY |
| Credential | LISAC |
| Practice Address |
2187 N Vickey St Flagstaff AZ 86004-6121 |
| Practice Telephone | 9285271899 |
| Practice Fax Number | 9287146480 |
| Mailing Telephone | 9285271899 |
| Mailing Fax Number | 9287146480 |
| Enumeration Date | 2019-01-23 |
| Last Update Date | 2019-01-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
LISAC-15083 | AZ | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2695 E Industrial Dr, Flagstaff, AZ 860046109 | 9285271899 |
| Street Address |
2187 N VICKEY ST |
| City | FLAGSTAFF |
| State | AZ |
| Zip Code | 86004-6121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770573743 | Daniel Cady | Psychologist | 2187 N Vickey St, Flagstaff, AZ 86004-6106 | 2005-10-21 |
| 1689148314 | Todd Hooe | Behavioral Analyst | 2187 N Vickey St, Flagstaff, AZ 86004-6121 | 2019-01-16 |
| 1366913923 | Janice Enloe | Nurse Practitioner | 2187 N Vickey St, Flagstaff, AZ 86004-6121 | 2018-12-07 |
| 1962910760 | Phillip Casey Dubravcic | Nurse Practitioner | 2187 N Vickey St, Flagstaff, AZ 86004-6121 | 2018-01-15 |
| 1992212716 | Kelly C Donohue | Psychologist | 2187 N Vickey St, Flagstaff, AZ 86004-6121 | 2018-01-02 |
| 1336658731 | Walt Hutton IIi | Nurse Practitioner | 2187 N Vickey St, Flagstaff, AZ 86004-6121 | 2017-09-28 |
| 1073035531 | Ann Elizabeth Iverson-dawson | Counselor | 2187 N Vickey St, Flagstaff, AZ 86004-6121 | 2017-07-16 |
| 1548621923 | Cody Bayles | Counselor | 2187 N Vickey St, Flagstaff, AZ 86004-6121 | 2016-03-14 |
| 1386037729 | Adam Kimball Geno | Nurse Practitioner | 2187 N Vickey St, Flagstaff, AZ 86004-6121 | 2015-03-10 |
| 1700215191 | Kerry Chapley | Nurse Practitioner | 2187 N Vickey St, Flagstaff, AZ 86004-6121 | 2013-11-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598387805 | Michael Joseph Oxtoby | Counselor | 2625 N. King St., Flagstaff, AZ 86004 | 2020-05-08 |
| 1083264501 | Dazhoni Elizabeth Scott | Counselor | 1500 E. Cedar Avenue #26, 2110 N. East St Apt C, Flagstaff, AZ 86004 | 2019-09-17 |
| 1760948046 | Emily Bauerle | Social Worker | 3009 N West St, Flagstaff, AZ 86004 | 2019-02-12 |
| 1992295745 | Kaibab Behavioral Services, Pllc | Behavioral Analyst | 2323 E Greenlaw Lane, Suite 12a, Flagstaff, AZ 86004 | 2018-05-17 |
| 1083115364 | Sequelcare of Arizona | Community Based Residential Treatment Facility, Mental Illness | 8800 Marys Drive, Flagstaff, AZ 86004 | 2018-02-22 |
| 1710391081 | Janet Coleman | Hearing Instrument Specialist | 1851 E Butler Avenue, Flagstaff, AZ 86004 | 2014-06-16 |
| 1568703163 | Mercy Timoh | Pharmacist | 4255 E. Soliere Ave., Flagstaff, AZ 86004 | 2013-03-06 |
| 1053617217 | Scott Nichols | Veterinarian | 6122 Abineau Canyon Drive, Flagstaff, AZ 86004 | 2011-02-07 |
| 1366745218 | Karoline S. Mariano | Registered Nurse | 3480 East Route 66, Flagstaff, AZ 86004 | 2010-12-15 |
| 1912209719 | Payal Parekh | Pharmacist | 1500 E Cedar, Flagstaff, AZ 86004 | 2010-11-30 |
| Find all providers in zip 86004 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386994564 | Brad Todd Mattingly | Counselor | 121 E. Birch #511, Flagstaff, AZ 86001 | 2012-09-14 |
| 1750696027 | Sandra Nevills Reiff | Counselor | 3478 S Carol Dr, Flagstaff, AZ 86001-9007 | 2010-08-11 |
| 1881828259 | Verda Denetsosie | Counselor | 2717 N Steves Blvd Ste 11, Flagstaff, AZ 86004-3959 | 2009-05-13 |
| 1194975987 | Daniel E Bejesky | Counselor | 6 E Aspen Ave, Flagstaff, AZ 86001-5259 | 2008-09-29 |
| 1841353935 | Community Medical Services Iv LLC | Counselor | 2559 E 7th Ave, Flagstaff, AZ 86004-3722 | 2006-12-19 |
| 1821437500 | Diane Margaret Van Cornewal | Counselor | 1215 N Beaver St, Flagstaff Medical Center, Flagstaff, AZ 86001-3126 | 2013-06-17 |
| 1295064848 | Anne R Cunningham | Counselor | 1016 W University Ave, Ste 202, Flagstaff, AZ 86001-2994 | 2009-12-10 |
| 1598993057 | Community Medical Services Iv LLC | Counselor | 2559 E 7th Ave, Flagstaff, AZ 86004-3722 | 2009-06-23 |
| 1225278930 | Craig Allen Davis | Counselor | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2009-02-20 |
| 1093727224 | Janet Sheridan | Counselor | 1300 S Yale St, Flagstaff, AZ 86001-6328 | 2006-08-13 |
| Find all providers in FLAGSTAFF | ||||
Please comment or provide details below to improve the information on BETHEL J MCCOY.
| 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.