MR. JOHN W. LOOSLE MSW NPI 1922157270

NPI Information

NPI: 1922157270
Provider Name: MR. JOHN W. LOOSLE, MSW
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

PECOS Registration: Yes

Address:
819 NO. NAVAJO DR.
SUITE # 4
PAGE, AZ
ZIP 86040
Phone: (928) 645-2744
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MR. John W. Loosle, MSW is an addiction (substance use disorder) counselor in Page, AZ. MR. John W. Loosle, MSW NPI is 1922157270. 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:

819 NO. NAVAJO DR.
SUITE # 4
PAGE, AZ
ZIP 86040
Phone: (928) 645-2744
Fax: (928) 645-2745

The NPI 1922157270 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 1/9/2007 and was last updated on 7/9/2007.

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
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	LISAC-11712	ARIZONA	Yes
2	1041C0700X	Social Worker	Clinical	LCSE-2819	ARIZONA	X
3	1041C0700X	Social Worker	Clinical	113433-3501	UTAH	X
4	106H00000X	Marriage & Family Therapist		113433-3902	UTAH	X

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
1	797095	MEDICAID	ARIZONA
2	Z83296	MEDICARE ID-TYPE UNSPECIFIED	ARIZONA	PROVIDER NUMBER

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

NPI Synchronization or Removal

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