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COCONINO COUNTY JUVENILE COURTS NPI 1194328450


NPI Information

NPI: 1194328450
Provider Name: COCONINO COUNTY JUVENILE COURTS
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

CLIA Number: 03D2044985

Address:
1001 E. SAWMILL RD.
FLAGSTAFF, AZ
ZIP 86001
Phone: (928) 226-5409
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COCONINO COUNTY JUVENILE COURTS is a mental health counselor in Flagstaff, AZ. COCONINO COUNTY JUVENILE COURTS NPI is 1194328450. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1001 E. SAWMILL RD.
FLAGSTAFF, AZ
ZIP 86001-833
Phone: (928) 226-5409
Fax: (928) 226-5454

The provider's authorized official is Bryon Matsuda .
The authorized official title is Director Of Court Services and has the following contact phone number (928) 226-5414.

The CLIA number assigned to this NPI record is 03D2044985 - other with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 11/19/2020 and was last updated on 11/19/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YM0800XCounselorMental HealthYes

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.