REDEMPTION COUNSELING CENTER (NPI# 1801431952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801431952 |
| Entity Type | Organization |
| Organization Name | REDEMPTION COUNSELING CENTER |
| Practice Address |
3009 N West St Flagstaff AZ 86004-3444 |
| Practice Telephone | 9287194009 |
| Mailing Telephone | 9287194009 |
| Enumeration Date | 2019-11-13 |
| Last Update Date | 2019-11-13 |
| Authorized Official Name | MRS. EMILY BAUERLE (COUNSELOR) |
| Authorized Official Telephone | 9288148607 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers | ||
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | NPI NUMBER-NM | 1588208268 | 01 |
| AZ | NPI NUMBER-ENB | 1760948046 | 01 |
| Street Address |
3009 N WEST ST |
| City | FLAGSTAFF |
| State | AZ |
| Zip Code | 86004-3444 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760948046 | Emily Bauerle | Social Worker | 3009 N West St, Flagstaff, AZ 86004 | 2019-02-12 |
| 1588208268 | Nevitta J Mason | Counselor | 3009 N West St, Flagstaff, AZ 86004-3444 | 2019-11-05 |
| 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 |
| 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 |
| 1316247885 | Ronald H Burr | Pharmacist | 4910 N Highway 89, Flagstaff, AZ 86004 | 2010-10-29 |
| Find all providers in zip 86004 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922621242 | Suzanne Andry Botello | Counselor | 1538 W Daydream Dr, Flagstaff, AZ 86001-7212 | 2020-05-20 |
| 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 |
| 1104473610 | Brenda Faye Manthei | Counselor | 1500 E Cedar Ave Ste 26&52, Flagstaff, AZ 86004-1641 | 2019-08-20 |
| 1316468721 | Aaron Alan Rasband | Counselor | 1500 E Cedar Ave Ste 26, Flagstaff, AZ 86004-1642 | 2017-07-06 |
| 1407391915 | Dianna Vansanford | Counselor | 2187 N Vickey St Ste A, Flagstaff, AZ 86004-6121 | 2016-12-20 |
| 1649423724 | Nicole Carson Degomez | Counselor | 1016 W. University #202, Flagstaff, AZ 86001 | 2008-11-03 |
| 1609077312 | Summit Counseling Services, P.C. | Counselor | 2677 E 7th Ave Ste 4, Flagstaff, AZ 86004-3739 | 2007-05-30 |
| 1114083615 | Sherri Lynn Corcoran | Counselor | 408 N Kendrick St Ste 3, Flagstaff, AZ 86001-1582 | 2006-12-29 |
| 1033274329 | Phyllis Helen Mettlin | Counselor | 2619 N Fremont Blvd, Flagstaff, AZ 86001-1013 | 2006-12-27 |
| Find all providers in FLAGSTAFF | ||||
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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.