CHARLES L CARR (NPI# 1750517074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750517074 |
| Entity Type | Individual |
| Full Name | CHARLES L CARR |
| Credential | PHD, LISAC |
| Practice Address |
1790 N Mastick Way Suite D Nogales AZ 85621-1135 |
| Practice Telephone | 5203944295 |
| Mailing Telephone | 5203944295 |
| Enumeration Date | 2009-06-01 |
| Last Update Date | 2009-06-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
11766 | AZ | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | ARIZONA BOARD OF BEHAVIORAL HEALTH | 11766 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710107131 | Charles Toby Carr | Contractor | 19064 W 61st Pl, Golden, CO 80403-1031 | 2007-04-26 |
| 1689750853 | Charles Lindburgh Carr Jr. | Neuromusculoskeletal Medicine & OMM | 164 Goodwins Mills Rd, Lyman, ME 04002-7529 | 2006-10-31 |
| 1164523445 | Charles Thomas Carr | Dentist | 7200 W 45th Ave, Ste 5, Amarillo, TX 79109-5084 | 2006-09-26 |
| 1528096484 | Charles M Carr | Family Medicine | 291 Bayhill Dr, Gallatin, TN 37066-4741 | 2006-06-29 |
| 1003207291 | Charles David Carr | Counselor | 1224 Vine St, Los Angeles, CA 90038 | 2015-02-10 |
| 1598092009 | Charles Deljohn Carr | Pharmacist | 1201 Broad Rock Blvd, 119, Richmond, VA 23249-0001 | 2009-11-05 |
| 1508896176 | Charles Carr | Orthopaedic Surgery | 1 Medical Center Dr, Lebanon, NH 03756-1000 | 2006-07-03 |
| Street Address |
1790 N MASTICK WAY SUITE D |
| City | NOGALES |
| State | AZ |
| Zip Code | 85621-1135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245318500 | Bejarano Counseling Services LLC | Counselor | 1790 N Mastick Way, Suite D, Nogales, AZ 85621-1135 | 2006-11-02 |
| 1245504927 | Alliance Counseling Center | Counselor | 1790 N Mastick Way, Suite A, Nogales, AZ 85621-1135 | 2012-02-28 |
| 1568697340 | Richard Mark Wodka | Counselor | 1790 N Mastick Way, Suite D, Nogales, AZ 85621-1135 | 2009-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548771033 | Intermountain Health Center, Inc. | Community/Behavioral Health | 272 West Viewpoint Drive, Nogales, AZ 85621 | 2017-10-24 |
| 1336696657 | Intermountain Centers for Human Development Inc. | Community/Behavioral Health | 276 West View Point Drive, Nogales, AZ 85621 | 2016-09-02 |
| 1831584291 | Helping Ourselves Pursue Enrichment, Inc. | Community/Behavioral Health | 1857 N Mastick Way, Nogales, AZ 85621 | 2015-04-02 |
| 1043504376 | Community Intervention Associates | Community/Behavioral Health | 32 Blvd Del Rey David, Nogales, AZ 85621 | 2011-06-03 |
| 1568782175 | Arizona's Children Association | Clinic/Center | 1740 N. Mastick Way, Suite D, Nogales, AZ 85621 | 2010-06-04 |
| 1811032493 | Susan M. Jaworski | Local Education Agency (LEA) | 315 Plum Street, Nogales, AZ 85621 | 2007-02-21 |
| 1194885905 | Alex Gracia | Pharmacy Technician | 839 W. Calle Chico, Nogales, AZ 85621 | 2006-12-11 |
| 1982716130 | Yvette Denise Braun | Chiropractor | 1821 N Mastick Way #1, Nogales, AZ 85621 | 2006-08-31 |
| 1043254154 | John Diaz | Emergency Medicine | 1171 W Target Range Road, Carondelet Holy Cross Hospital, Nogales, AZ 85621 | 2006-06-16 |
| 1467495085 | Bart L Mc Rae | Emergency Medicine | Carondelet Holy Cross Hospital, 1171 W. Target Range Road, Nogales, AZ 85621 | 2006-06-13 |
| Find all providers in zip 85621 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245504927 | Alliance Counseling Center | Counselor | 1790 N Mastick Way, Suite A, Nogales, AZ 85621-1135 | 2012-02-28 |
| 1538221031 | Roberto Thompson | Counselor | 32 Boulevard Del Rey David, Nogales, AZ 85621-9667 | 2006-12-14 |
| 1871685958 | Yassar E Canchola | Counselor | 32 Boulevard Del Rey David, Nogales, AZ 85621-9667 | 2006-09-28 |
| 1881785491 | Melinda Maricela Castillo | Counselor | 32 Boulevard Del Rey David, Nogales, AZ 85621-9667 | 2006-09-27 |
| 1588755193 | Alfonso Rojo | Counselor | 32 Boulevard Del Rey David, Nogales, AZ 85621-9667 | 2006-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215534946 | Jodie Lynn Gonzalez | Counselor | 20430 W Carla Vista, Buckeye, AZ 85326-4698 | 2020-10-06 |
| 1649885716 | Global Family LLC | Counselor | 4523 N 92nd Ave, Phoenix, AZ 85037-2450 | 2020-09-15 |
| 1891300299 | Roundsville Drug and Alcohol Treatment of Arizona | Counselor | 610 N Bagby Dr, Prescott, AZ 86301-2588 | 2020-09-11 |
| 1982218772 | Bashar Aldeen | Counselor | 3401 W Country Gables Dr, Phoenix, AZ 85053-4756 | 2020-08-31 |
| 1811509581 | Creosote Mental Health Group | Counselor | 4646 N Swan Rd Ste 105, Tucson, AZ 85718-6715 | 2020-08-23 |
| 1316559644 | Pamela Mcrae | Counselor | 17611 W Pershing St, Surprise, AZ 85388-5024 | 2020-08-18 |
| 1508478082 | Tahonna Latreise Surrell | Counselor | 3236 E Chandler Blvd Unit 1034, Phoenix, AZ 85048-7281 | 2020-08-17 |
| 1619588209 | Teri Sebastian | Counselor | 240 S Montezuma St Ste 201e, Prescott, AZ 86303-4712 | 2020-08-16 |
| 1497366314 | Cachora Standifer | Counselor | 6294 S Eagles Talon Pkwy, Tucson, AZ 85757-1639 | 2020-08-13 |
| 1346858883 | Heather Romero | Counselor | 110 W Camelback Rd Ste 200, Phoenix, AZ 85013-2564 | 2020-07-21 |
| 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.