ROUND TABLE RECOVERY, LLC (NPI# 1316225444) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316225444 |
| Entity Type | Organization |
| Organization Name | ROUND TABLE RECOVERY, LLC |
| Practice Address |
711 S Granite St Suite B Prescott AZ 86303-4241 |
| Practice Telephone | 9285332887 |
| Practice Fax Number | 9287764781 |
| Mailing Telephone | 9285332887 |
| Mailing Fax Number | 9287764781 |
| Enumeration Date | 2011-07-22 |
| Last Update Date | 2011-07-22 |
| Authorized Official Name | IRA N NISHIKAWA (DIRECTOR) |
| Authorized Official Telephone | 9285332887 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
711 S GRANITE ST SUITE B |
| City | PRESCOTT |
| State | AZ |
| Zip Code | 86303-4241 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871159640 | Zabrina Boudreau | Counselor | 711 S Granite St, Prescott, AZ 86303-4241 | 2019-05-16 |
| 1568842805 | Maureen Michael | Counselor | 711 S Granite St, Prescott, AZ 86303-4241 | 2015-06-02 |
| 1518395870 | Oasis Addiction Counseling LLC | Clinic/Center | 711 S Granite St, Suite A, Prescott, AZ 86303-4241 | 2013-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518447598 | Jacqueline Schlosser | Respite Care | 237 S. Washington Ave., Prescott, AZ 86303 | 2018-08-18 |
| 1033699210 | Anna Rachel Seno | Psychologist | 300 S Granite Street, Prescott, AZ 86303 | 2018-08-17 |
| 1871944322 | Jessie Deverna | Counselor | 450 W Goodwin St Suite 103b, Prescott, AZ 86303 | 2016-06-27 |
| 1154782845 | Walmart | Pharmacy | 1120 N. Opal Dr., Prescott, AZ 86303 | 2016-03-09 |
| 1710377650 | Compass Recovery Center LLC | Clinic/Center | 711 S. Granite St, Prescott, AZ 86303 | 2015-01-30 |
| 1154727527 | Anne Gurley Klever | Pharmacist | 500 Arizona 89, Prescott, AZ 86303 | 2014-11-13 |
| 1295131860 | Kathi Sabot | Registered Nurse | 146 S. Granite Street, Prescott Unified School District, Prescott, AZ 86303 | 2014-11-10 |
| 1457697989 | Kim K. Mcintyre | Counselor | 505 S. Cortez St., Prescott, AZ 86303 | 2013-01-03 |
| 1578885257 | Wesley Carl Kitchens | Counselor | 315 W Goodwin St, Prescott, AZ 86303 | 2010-02-22 |
| 1588805907 | Jacob Lee Bean | Physical Therapist | 6820 El Dorado Dr, Prescott, AZ 86303 | 2009-03-14 |
| Find all providers in zip 86303 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861023905 | Blueprints Therapeutic Services LLC | Community/Behavioral Health | 1065 Northside Dr, Prescott, AZ 86301-1415 | 2020-01-28 |
| 1003372491 | Seaglass Recovery | Community/Behavioral Health | 711 W Gurley St, Prescott, AZ 86305-3621 | 2019-02-11 |
| 1407398621 | Chapter 5 Counseling Center LLC. | Community/Behavioral Health | 973 W Gurley St, Prescott, AZ 86305-2817 | 2016-11-07 |
| 1447640826 | Chapter 5 | Community/Behavioral Health | 726 W Gurley St, Prescott, AZ 86305-3629 | 2015-01-23 |
| 1235529629 | Chapter 5 Counseling Center, LLC | Community/Behavioral Health | 822 W Gurley St, Prescott, AZ 86305-3624 | 2015-01-23 |
| 1508207523 | Recovery In The Pines, LLC | Community/Behavioral Health | 919 12th Place #13, Prescott, AZ 86305 | 2013-07-08 |
| 1528304367 | Catholic Charities Community Services | Community/Behavioral Health | 434 W Gurley St, Prescott, AZ 86301-3616 | 2012-12-26 |
| 1952646002 | Laura Crimmins Pllc | Community/Behavioral Health | 711 Whipple St, Prescott, AZ 86301-1717 | 2012-11-30 |
| 1932453073 | Oasis Addiction Counseling LLC | Community/Behavioral Health | 445 Miller Valley Rd, Prescott, AZ 86301-2925 | 2012-10-26 |
| 1225391402 | Cornerstone Recovery Center | Community/Behavioral Health | 655 W Gurley St, Prescott, AZ 86305-3619 | 2012-06-21 |
| Find all providers in PRESCOTT | ||||
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| 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.