JOHN M SCHUDERER LISAC LPC NPI 1174584957

NPI Information

  • NPI: 1174584957
  • Provider Name: JOHN M SCHUDERER, LISAC LPC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • Address: 642 DAMERON DR
    WEST YAVAPAI GUIDANCE CLINIC INC HILLSIDE CD
    PRESCOTT, AZ
    ZIP 86301
  • Phone: (928) 445-5211

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NPI Details

John M Schuderer, LISAC LPC is a professional counselor in Prescott, AZ. John M Schuderer, LISAC LPC NPI is 1174584957. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

642 DAMERON DR
WEST YAVAPAI GUIDANCE CLINIC INC HILLSIDE CD
PRESCOTT, AZ
ZIP 86301-411
Phone: (928) 445-5211
Fax: (928) 776-8484

The enumeration date for this NPI number is 3/31/2006 and was last updated on 9/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)LISAC11381ARIZONANo
2101YP2500XCounselorProfessionalLPC10607ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1739485MEDICAIDARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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