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PINE VIEW BEHAVIORAL HEALTH CENTER
NPI 1487679973
Clinic/Center - Mental Health (Including Community Mental Health Center) in Show Low, AZ

Active since July 13, 2006
2550 SHOW LOW LAKE ROAD, SHOW LOW, AZ 85901(928) 537-1029(928) 537-9049 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Pine View Behavioral Health Center NPPES

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

PINE VIEW BEHAVIORAL HEALTH CENTER (NPI 1487679973) is a healthcare organization registered as a mental health (including community mental health center) in Show Low, Arizona and active in the NPI registry since July 2006. The organization lists Ivan Robert Wilderman, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1487679973
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameCOMMUNITY COUNSELING CENTERS INC
Location Address2550 SHOW LOW LAKE ROADShow Low, AZ 85901-7929
Mailing Address2550 Show Low Lake RoadShow Low, AZ 85901-7929 · (928) 537-1029 · Fax (928) 537-9049
Phone(928) 537-1029
Fax(928) 537-9049
Organization SubpartNo
Authorized OfficialIvan Robert WildermanChief Executive Officer · (928) 524-6701
Enumeration DateJuly 13, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1487679973 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
2550 SHOW LOW LAKE ROAD, Show Low, AZ 85901
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Other Names 1

Doing Business AsPine View Behavioral Health Center

Other Identifiers 1

Other590142AZ · Ahcccs

Other Providers at the Same Location NPPES 3

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

BRADLEY MARVIN HEAD LPC
Counselor (Professional)
2550 SHOW LOW LAKE ROAD
SHOW LOW, AZ 85901
Navajo County (928) 537-1029
DEBORAH L HOAG LISAC MA
Counselor (Addiction (Substance Use Disorder))
2550 SHOW LOW LAKE ROAD
SHOW LOW, AZ 85901
Navajo County (928) 537-1029
CHANGEPOINT INTEGRATED HEALTH
Community Based Residential Treatment Facility, Mental Illness
2550 SHOW LOW LAKE ROAD
SHOW LOW, AZ 85901
Navajo County (928) 532-5838

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 Community Counseling Centers Inc's NPI number?

The NPI number for Community Counseling Centers Inc is 1487679973. It was assigned to this organization in the NPPES registry on July 13, 2006. The provider is doing business as Pine View Behavioral Health Center.

Where is Community Counseling Centers Inc located?

Community Counseling Centers Inc is located at 2550 Show Low Lake Road, Show Low, AZ 85901. The listed phone number is (928) 537-1029.

What is Community Counseling Centers Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Community Counseling Centers Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.