COMMUNITY COUNSELING CENTERS INC
NPI 1669413175
Clinic/Center - Mental Health (Including Community Mental Health Center) in Winslow, AZ
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
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Community Counseling Centers Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
14Medicare enrollment records show 14 clinicians reassign Medicare billing to Community Counseling Centers Inc, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians by Medicare Specialty 3
Clinicians, nearest first (14)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Is Community Counseling Centers Inc enrolled in Medicare?
Yes. Community Counseling Centers Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Community Counseling Centers Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 14 clinicians in 3 Medicare specialties reassign their Medicare billing to Community Counseling Centers Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (9), Psychiatry (4) and Family Practice (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Community Counseling Centers Inc accept?
Health plans from Cigna HealthCare of Florida, Inc. and Cigna Healthcare list Community Counseling Centers 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 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.
# Community Counseling Centers Inc · NPI 1669413175
Mental Health (Including Community Mental Health Center) organization in Winslow, Arizona. Organization record, active in the CMS NPPES registry since June 8, 2006.
## Identity
- **NPI:** 1669413175 (Entity type: Organization)
- **Enumerated:** June 8, 2006
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Organization subpart:** No
- **Authorized official:** Ivan Wilderman, CHIEF EXECUTIVE OFFICER
## Practice location
- **Address:** 211 EAST THIRD STREET, Winslow, AZ 86047-3802
- **Phone:** (928) 289-4658 · **Fax:** (928) 289-3775
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 14 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (9), Psychiatry (4), Family Practice (1) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 22, 2020
- **Other identifiers:** Other 007452 (AZ)
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Source: [NPI Profile](https://npiprofile.com/npi/1669413175) · Data from the CMS NPPES public registry.