CULTIVATE COUNSELING PLLC
NPI 1700383411
Clinic/Center - Mental Health (Including Community Mental Health Center) in Flagstaff, AZ

NPI Status: Active since April 09, 2018

Contact Information

624 N HUMPHREYS ST STE 1
FLAGSTAFF, AZ
ZIP 86001
Phone: (928) 814-0122

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  • Organization
  • Clinic/Center
  • Mental Health (Including Community Menta...

About CULTIVATE COUNSELING PLLC

This page provides the complete NPI Profile along with additional information for Cultivate Counseling Pllc, a provider established in Flagstaff, Arizona operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1700383411 assigned on April 2018. The practitioner's primary taxonomy code is 261QM0801X with license number 15628 (AZ). The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Mr. Kristopher Dohse (Manager)

NPI
1700383411
Provider Name
CULTIVATE COUNSELING PLLC
Entity Type
Organization
Location Address
624 N HUMPHREYS ST STE 1 FLAGSTAFF, AZ 86001
Location Phone
(928) 814-0122
Mailing Address
624 N HUMPHREYS ST STE 1 FLAGSTAFF, AZ 86001
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-09-2018
Last Update Date
11-11-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Mental Health (Including Community Mental Health Center)

Taxonomy Code
261QM0801X
Type
Ambulatory Health Care Facilities
License No.
15628
License State
AZ

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. KRISTOPHER DOHSE

Authorized Official Title
MANAGER
Authorized Official Phone
(928) 864-5024

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1487193538OTHER (01)UNITED
1487193538OTHER (01)BLUE CROSS BLUE SHIELD

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1700383411
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
270068642
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 0 + 0 + 6 + 8 + 6 + 4 + 2 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1700383411 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 7 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1487193538 MELISSA DOHSE LCSW
Individual
Social Worker (Clinical)624 N HUMPHREYS ST STE 1
FLAGSTAFF, AZ 86001
(928) 864-5024
1881158640 DENISE L HENDERSON LPC, SEP
Individual
Counselor624 N HUMPHREYS ST STE 1
FLAGSTAFF, AZ 86001
(928) 864-5024
1225642267 DOROTHY BECKLEY LPC
Individual
Counselor (Professional)624 N HUMPHREYS ST STE 1
FLAGSTAFF, AZ 86001
(928) 864-5024
1972185007 ROSE WALL LPC
Individual
Counselor (Mental Health)624 N HUMPHREYS ST STE 1
FLAGSTAFF, AZ 86001
(928) 864-5024
1922721968 MICHELLE DAWN LCSW
Individual
Social Worker (Clinical)624 N HUMPHREYS ST STE 1
FLAGSTAFF, AZ 86001
(928) 864-5024
1932817640 ANGELICA KENNEDY LCSW
Individual
Social Worker (Clinical)624 N HUMPHREYS ST STE 1
FLAGSTAFF, AZ 86001
(928) 864-5024
1700609526 HANNAH SWEENEY LCSW
Individual
Social Worker (Clinical)624 N HUMPHREYS ST STE 1
FLAGSTAFF, AZ 86001
(928) 864-5024

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1700383411, enumerated in the NPI registry as an "organization" on April 09, 2018

The provider is located at 624 N Humphreys St Ste 1 Flagstaff, Az 86001 and the phone number is (928) 814-0122

This medical organization specializes in Clinic/Center with taxonomy code 261QM0801X with a focus in Mental Health (Including Community Mental Health Center)

The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on April 09, 2018. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.