MINGUS MOUNTAIN ESTATE RESIDENTIAL CENTER INC. (NPI# 1942347034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942347034 |
| Entity Type | Organization |
| Organization Name | MINGUS MOUNTAIN ESTATE RESIDENTIAL CENTER INC. |
| Other Organization Name | MINGUS MOUNTAIN ACADEMY |
| Practice Address |
8349 East Spouse Drive Suite B Prescott Valley AZ 86314 |
| Mailing Address |
Po Box 26485 Prescott Valley AZ 86312-6485 |
| Practice Telephone | 6023353000 |
| Mailing Telephone | 6023352000 |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. CHRIS BANKEN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6023352000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101YM0800X |
Counselor Specialization: Mental Health |
BH-2839 | AZ | Behavioral Health & Social Service Providers |
| X | 251S00000X | Community/Behavioral Health | BH 2839 | AZ | Agencies |
| Other Name | Type Code |
|---|---|
| Mingus Mountain Academy | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982069522 | Mingus Mountain Estate Residential Center Inc. | Assisted Living Facility | 34218 N 26th Ave, Phoenix, AZ 85085-5008 | 2015-12-28 |
| Street Address |
8349 EAST SPOUSE DRIVE SUITE B |
| City | PRESCOTT VALLEY |
| State | AZ |
| Zip Code | 86314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992326029 | Sequelcare of Arizona | Community Based Residential Treatment Facility, Mental Illness | 3001 N. Mountain View Rd, Prescott Valley, AZ 86314 | 2020-04-29 |
| 1124666516 | Best Care Behavioral Homes LLC | Community/Behavioral Health | 5385 W Saddleback Drive, Prescott Valley, AZ 86314 | 2019-12-16 |
| 1912541558 | The Stateserv Companies, LLC | Durable Medical Equipment & Medical Supplies | 8926 E. Long Mesa Drive, Prescott Valley, AZ 86314 | 2019-11-06 |
| 1003398983 | Richard Telck | Pharmacist | 7720 E. Highway 69, Prescott Valley, AZ 86314 | 2018-09-06 |
| 1912493065 | Akdhc,llc | Internal Medicine | 7862 E Florentine Rd, Suite 120, Prescott Valley, AZ 86314 | 2018-07-02 |
| 1700377983 | Pronghorn Psychiatry | Clinic/Center | 5940 E. Copper Hill Dr, Suite E, Prescott Valley, AZ 86314 | 2018-05-23 |
| 1689185126 | Thumb Butte Urgent Care | Clinic/Center | 6496 East Highway 69, Prescott Valley, AZ 86314 | 2017-10-23 |
| 1740738046 | Janine Kauffmann | Pharmacist | 7720 East Highway 69, Prescott Valley, AZ 86314 | 2016-09-14 |
| 1528415650 | Nazcare, Inc. | Exclusive Provider Organization | 8200 E. Jacque Dr., Prescott Valley, AZ 86314 | 2016-05-18 |
| 1184087009 | William Beverly | Marriage & Family Therapist | 8603 E. Eastridge Dr., Ste A, Prescott Valley, AZ 86314 | 2016-03-29 |
| Find all providers in zip 86314 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578192027 | Caitlin Holm | Counselor | 6810 E Spouse Dr Apt 225, Prescott Valley, AZ 86314-6647 | 2020-04-06 |
| 1699336081 | Erin Wright | Counselor | 4356 N Sauter Dr E, Prescott Valley, AZ 86314-6312 | 2019-06-26 |
| 1003368887 | Virginia Martinez | Counselor | 7776 E Painted Wagon Path, Prescott Valley, AZ 86315-7811 | 2016-10-27 |
| 1437468493 | Alice Kurtz | Counselor | 7550 E Traders Trl, Prescott Valley, AZ 86314-1422 | 2010-09-24 |
| 1801127113 | Debra Abari | Counselor | 8603 E Eastridge Rd Ste A, Prescott Valley, AZ 86314-8562 | 2010-01-26 |
| 1356909451 | Tea and Empathy, Pllc | Counselor | 8833 N Grass Valley Ln, Prescott Valley, AZ 86315-9232 | 2019-06-03 |
| 1215309760 | Kara Schumann | Counselor | 3345 N Windsong Dr, Prescott Valley, AZ 86314-2283 | 2015-10-23 |
| 1669802658 | Bettino Counseling | Counselor | 8430 E Spouse Dr, Prescott Valley, AZ 86314-6142 | 2013-11-12 |
| 1912273582 | Melissa Rauch | Counselor | 8603 E Eastridge Rd Ste A, Prescott Valley, AZ 86314-8562 | 2012-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508467200 | Monique M Gomez | Counselor | 3923 S Willow Dr, Tempe, AZ 85282-5761 | 2020-11-08 |
| 1154922615 | Gift of Hearts Home LLC | Counselor | 4547 N 92nd Ave, Phoenix, AZ 85037-2450 | 2020-11-02 |
| 1952901332 | Jennifer Barreras | Counselor | 1818 E Burgess Ln, Phoenix, AZ 85042-4518 | 2020-10-27 |
| 1487254629 | Bernadette Bruha | Counselor | 10028 W Redbird Rd, Peoria, AZ 85383-3368 | 2020-10-27 |
| 1477153799 | Haydee Bermudez | Counselor | 3301 North 33rd Ave., Phoenix, AZ 85029 | 2020-10-27 |
| 1801496054 | Ryse Therapeutic Counseling LLC | Counselor | 461 W Holmes Ave Unit 181, Mesa, AZ 85210-5181 | 2020-10-27 |
| 1215537709 | Kendra Nicole Rosenfeld | Counselor | 10218 N 60th Ln, Glendale, AZ 85302-1256 | 2020-10-26 |
| 1851990311 | Makenzie Lynn Middleton | Counselor | 8310 E Mcdonald Dr # 7103, Scottsdale, AZ 85250-6277 | 2020-10-25 |
| 1184223620 | Jennifer L Salazar | Counselor | 7730 E Greenway Rd, Scottsdale, AZ 85260-1786 | 2020-10-24 |
| 1225636319 | Stride Forward Counseling LLC | Counselor | 6566 S Oakwood Way, Gilbert, AZ 85298-4068 | 2020-10-12 |
| Find all providers with the same taxonomy | ||||
| City | PRESCOTT VALLEY |
| Zip Code | 86314 |
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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.