Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

JOHN M SCHUDERER LISAC LPC
NPI 1174584957
Counselor - Professional in Prescott, AZ

Active since March 31, 2006
642 DAMERON DR, WEST YAVAPAI GUIDANCE CLINIC INC HILLSIDE CD, PRESCOTT, AZ 86301(928) 445-5211(928) 776-8484 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 13, 2026, Sep 11, 2025 (2 updates tracked since 2025).

About John M Schuderer Lisac Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHN M SCHUDERER LISAC LPC (NPI 1174584957) is an individual professional provider in Prescott, Arizona, licensed in Arizona (LPC10607) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1174584957
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameJOHN M SCHUDERERCredential: LISAC LPC
Location Address642 DAMERON DR, WEST YAVAPAI GUIDANCE CLINIC INC HILLSIDE CDPrescott, AZ 86301-2411
Mailing Address642 Dameron DrPrescott, AZ 86301-2411 · (928) 445-5211 · Fax (928) 776-8484
Fax(928) 776-8484
Sole ProprietorNo
Enumeration DateMarch 31, 2006
Last NPPES UpdateJuly 13, 20262 updates tracked since enumeration
NPI 1174584957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in AZ · LPC10607
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License LISAC11381 (AZ)
642 DAMERON DR, Prescott, AZ 86301

Other Identifiers 1

Medicaid739485AZ

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacy Technician
642 DAMERON DR
PRESCOTT, AZ 86301
Nurse Practitioner (Psychiatric/Mental Health)
642 DAMERON DR
PRESCOTT, AZ 86301
Residential Treatment Facility, Emotionally Disturbed Children
642 DAMERON DR
PRESCOTT, AZ 86301
Registered Nurse (Psychiatric/Mental Health)
642 DAMERON DR
PRESCOTT, AZ 86301
Counselor (Professional)
642 DAMERON DR, HILLSIDE CENTER
PRESCOTT, AZ 86301
Social Worker
642 DAMERON DR, HILLSIDE CLINIC
PRESCOTT, AZ 86301
Counselor (Professional)
642 DAMERON DR
PRESCOTT, AZ 86301
Registered Nurse (Psychiatric/Mental Health)
642 DAMERON DR
PRESCOTT, AZ 86301

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Schuderer's NPI number?

The NPI number for John Schuderer is 1174584957. It was assigned to this individual provider in the NPPES registry on March 31, 2006.

Where is John Schuderer located?

John Schuderer practices at 642 Dameron Dr West Yavapai Guidance Clinic Inc Hillside Cd, Prescott, AZ 86301. The listed phone number is (928) 445-5211.

What is John Schuderer's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for John Schuderer was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.