MS. JOSEPHINE ANNE ELLSWORTH (NPI# 1467735217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1467735217 |
Entity Type | Individual |
Full Name | MS. JOSEPHINE ANNE ELLSWORTH |
Credential | MA, LPC |
Practice Address |
811 Maverick Lane Benson AZ 85602 |
Practice Telephone | 5205482929 |
Mailing Telephone | 5205482929 |
Mailing Fax Number | 5205863758 |
Enumeration Date | 2011-09-27 |
Last Update Date | 2011-09-27 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101Y00000X | Counselor | 264199 | AZ | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | NBCC | 264199 | 01 |
AZ | LPC | 2541 | 01 |
Street Address |
811 MAVERICK LANE |
City | BENSON |
State | AZ |
Zip Code | 85602 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821582529 | Chiricahua Community Health Centers, Inc | Clinic/Center | 335 South Ocotillo Avenue, Benson, AZ 85602 | 2018-06-18 |
1437651288 | Chiricahua Community Health Centers Inc | Pharmacy | 335 S Ocotillo Avenue, Benson, AZ 85602 | 2018-03-07 |
1295191641 | Caring Connections for Special Needs, LLC. | Community/Behavioral Health | 870 W 4th St, Benson, AZ 85602 | 2016-01-14 |
1396158762 | Nicole Michelle Morris | Audiologist | 1989 S. Frontage Rd., Audiology Hearing and Balance Services, Sierra Vista, AZ 85602 | 2014-06-03 |
1730483819 | Charles Dean Kartchner | Anesthesiology | 1357 East Airport Road, Benson, AZ 85602 | 2011-01-04 |
1699077321 | Community Bridges, Inc | Clinic/Center | 470 S Ocotillo Ave # 2, Benson, AZ 85602 | 2010-12-01 |
1801106844 | Tomas G. Soto | Social Worker | 611 W. Union St., Benson, AZ 85602 | 2010-10-08 |
1982929451 | Marla Jeanne Trepanier | Pharmacist | 795 W Fourth Street, Benson, AZ 85602 | 2010-03-29 |
1396910832 | Susan May Boge | Occupational Therapist | 1764 N Ocotillo Rd, Benson, AZ 85602 | 2008-04-25 |
1174797021 | Billye Nell Matthews | Advanced Practice Midwife | 900 Dill Rd, Benson, AZ 85602 | 2008-04-22 |
Find all providers in zip 85602 |
Taxonomy Code | 101Y00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235275140 | Kathleen B Crawford | Counselor | 670 W Via Javalina, Benson, AZ 85602-7111 | 2007-01-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912508698 | Judith Osuagwu | Counselor | 16745 W Monroe St, Goodyear, AZ 85338-4534 | 2020-11-08 |
1952902298 | Karissa Lynn Whitlatch | Counselor | 3651 E Baseline Rd Ste E120, Gilbert, AZ 85234-2689 | 2020-11-03 |
1891395604 | Helping Handz Counseling Services Outpatient Treatment Center Corp | Counselor | 3930 N 30th Ave, Phoenix, AZ 85017-4607 | 2020-10-30 |
1013517309 | Gregory Clopton | Counselor | 12223 E Cloud Rd, Chandler, AZ 85249-3424 | 2020-10-27 |
1699375030 | Crystal Marie Thomson | Counselor | 1405 E Guadalupe Rd Ste 3, Tempe, AZ 85283-3971 | 2020-10-26 |
1477152361 | Jennifer L St. Clair | Counselor | 12211 W Bell Rd Ste 205, Surprise, AZ 85378-9522 | 2020-10-21 |
1528667953 | George Olorunfemi Adeola Olusa | Counselor | 5651 S Mesquite Grove Way, Chandler, AZ 85249-9670 | 2020-10-17 |
1033717582 | Erica Nicole Trocino | Counselor | 11811 W Softwind Dr, Sun City, AZ 85373-5029 | 2020-10-15 |
1124639414 | Karissa Bruce | Counselor | 141 S Mccormick St Ste 103, Prescott, AZ 86303-4730 | 2020-08-11 |
1215545207 | David M Becket | Counselor | 2675 W St Rte 89a # 1061, Sedona, AZ 86336-5240 | 2020-07-16 |
Find all providers with the same taxonomy |
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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.