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COMMUNITY COUNSELING CENTERS INC
NPI 1669413175
Clinic/Center - Mental Health (Including Community Mental Health Center) in Winslow, AZ

Active since June 08, 2006
211 EAST THIRD STREET, WINSLOW, AZ 86047(928) 289-4658(928) 289-3775 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Community Counseling Centers Inc NPPES

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

COMMUNITY COUNSELING CENTERS INC (NPI 1669413175) is a healthcare organization registered as a mental health (including community mental health center) in Winslow, Arizona and active in the NPI registry since June 2006. The organization lists Ivan Robert Wilderman, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1669413175
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameCOMMUNITY COUNSELING CENTERS INC
Location Address211 EAST THIRD STREETWinslow, AZ 86047-3802
Mailing Address211 East Third StreetWinslow, AZ 86047-3802 · (928) 289-4658 · Fax (928) 289-3775
Phone(928) 289-4658
Fax(928) 289-3775
Organization SubpartNo
Authorized OfficialIvan Robert WildermanChief Executive Officer · (928) 624-6701
Enumeration DateJune 8, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1669413175 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
License✔ Licensed in AZ · BH141
211 EAST THIRD STREET, Winslow, AZ 86047
Open in Google Maps ↗

Other Identifiers 1

Other007452AZ · Ahcccs

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 1669413175. It was assigned to this organization in the NPPES registry on June 8, 2006.

Where is Community Counseling Centers Inc located?

Community Counseling Centers Inc is located at 211 East Third Street, Winslow, AZ 86047. The listed phone number is (928) 289-4658.

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 5 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.