MINGUS MOUNTAIN ESTATE RESIDENTIAL CENTER INC
NPI 1356358519
Residential Treatment Facility, Emotionally Disturbed Children in Prescott Valley, AZ

Q: What is Mingus Mountain Estate Residential Center Inc's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

Active since August 01, 2006

15801 E DON CARLOS DR, PRESCOTT VALLEY, AZ 86315(602) 335-2068(602) 335-2066 Get Directions Write a Review

NPPES record last updated: June 19, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 19, 2023, Nov 22, 2022, Aug 22, 2020 (3 updates tracked since 2020).

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About Mingus Mountain Estate Residential Center Inc NPPES

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

MINGUS MOUNTAIN ESTATE RESIDENTIAL CENTER INC (NPI 1356358519) is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Prescott Valley, Arizona and active in the NPI registry since August 2006. The organization lists Randy Copas, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1356358519

Entity TypeOrganization

Primary Taxonomy322D00000X

Legal Business NameMINGUS MOUNTAIN ESTATE RESIDENTIAL CENTER INC

Location Address15801 E DON CARLOS DRPrescott Valley, AZ 86315-4109

Mailing Address2517 N Great Western Dr Ste PPrescott Valley, AZ 86314-2597 · (602) 335-2068 · Fax (602) 335-2066

Phone(602) 335-2068

Fax(602) 335-2066

Organization SubpartNo

Authorized OfficialRandy CopasExecutive Director · (602) 335-2000

Enumeration DateAugust 1, 2006

Last NPPES UpdateJune 19, 20233 updates tracked since enumeration

NPPES CertifiedJune 19, 2023

✔ NPI 1356358519 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Emotionally Disturbed ChildrenResidential Treatment Facilities

Taxonomy Code322D00000X

License✔ Licensed in AZ · BH-312

Definition

A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

15801 E DON CARLOS DR, Prescott Valley, AZ 86315

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan, Ambetter of Oklahoma and more.Insurance ›

Other Providers at the Same Location NPPES

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

GAYLE L GREGORY MD

Psychiatry & Neurology (Child & Adolescent Psychiatry)

15801 E DON CARLOS DR
PRESCOTT VALLEY, AZ 86315

Yavapai County (602) 335-2000

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 Mingus Mountain Estate Residential Center Inc's NPI number?

The NPI number for Mingus Mountain Estate Residential Center Inc is 1356358519. It was assigned to this organization in the NPPES registry on August 1, 2006.

Where is Mingus Mountain Estate Residential Center Inc located?

Mingus Mountain Estate Residential Center Inc is located at 15801 E Don Carlos Dr, Prescott Valley, AZ 86315. The listed phone number is (602) 335-2068.

What is Mingus Mountain Estate Residential Center Inc's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

What insurance does Mingus Mountain Estate Residential Center Inc accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan, Ambetter of Oklahoma and Blue Cross Blue Shield of Arizona list Mingus Mountain Estate Residential Center Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mingus Mountain Estate Residential Center Inc was last updated on June 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.