CIRCLE MOUNTAIN COUNSELING, LLC NPI 1982942553

Counselor (Professional) in Surprise, AZ

NPI 1982942553 Organization Counselor Professional

About CIRCLE MOUNTAIN COUNSELING, LLC

Circle Mountain Counseling, Llc is a provider established in Surprise, Arizona specializing in counselor (professional) . The NPI number of Circle Mountain Counseling, Llc is 1982942553 and was assigned on January 2013. The practitioner's primary taxonomy code is 101YP2500X with license number LPC-10557 (AZ). The provider is registered as an organization and their NPI record was last updated 9 years ago. Circle Mountain Counseling, Llc operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Mrs. April Elise Lain Lisac (Counselor Co-owner)

NPI

1982942553

Provider NameCIRCLE MOUNTAIN COUNSELING, LLC
Provider Location Address18789 N REEMS RD STE 260 SURPRISE, AZ 85374
Provider Mailing Address18789 N REEMS RD STE 260 SURPRISE, AZ 85374
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?Yes
Enumeration Date01-16-2013
Last Update Date01-16-2013


Primary Taxonomy

Taxonomy Code101YP2500X
ClassificationCounselor
TypeBehavioral Health & Social Service Providers
SpecializationProfessional
License No.LPC-10557
License StateAZ

Business Address

CIRCLE MOUNTAIN COUNSELING, LLC
18789 N REEMS RD STE 260
SURPRISE, AZ
ZIP 85374
Phone: (623) 432-0668

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Mailing Address

CIRCLE MOUNTAIN COUNSELING, LLC
18789 N REEMS RD STE 260
SURPRISE, AZ
ZIP 85374
Phone: (623) 432-0668



Authorized Official

Authorized Official NameMRS. APRIL ELISE LAIN LISAC
Authorized Official TitleCOUNSELOR CO-OWNER
Authorized Official Phone(623) 210-5951

Group Taxonomy


193400000X MULTIPLE SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)LISAC10221AZNo

Taxonomy Description: Not Available

2101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)LISAC1250AZNo

Taxonomy Description: Not Available

Other Providers at the same location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1932504594DR. ANNE SHAW NMD
Individual
Naturopath18789 N REEMS RD STE 260
SURPRISE, AZ 85374
(602) 432-4055
1801351127PATHFINDER COUNSELING AND CONSULTING LLC
Organization
Social Worker (Clinical)18789 N REEMS RD STE 260
SURPRISE, AZ 85374
(623) 335-9400
1407440175 DAVID BALLARD MA, LAC, NCC
Individual
Counselor (Mental Health)18789 N REEMS RD STE 260
SURPRISE, AZ 85374
(480) 694-5707

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.