KATHRYN ATHA


Address: 6425 W Montego Ln, Glendale, AZ 85306-3145
Phone: 6024025438

KATHRYN ATHA (NPI# 1366828279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1366828279
Entity Type Individual
Full Name KATHRYN ATHA
Credential LPC
Practice Address 6425 W Montego Ln
Glendale
AZ 85306-3145
Practice Telephone 6024025438
Mailing Telephone 6024025438
Enumeration Date 2015-08-03
Last Update Date 2015-08-03
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101Y00000X Counselor LPC-0543 AZ Behavioral Health & Social Service Providers

Office Location

Street Address 6425 W MONTEGO LN
City GLENDALE
State AZ
Zip Code 85306-3145

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Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification.
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors.

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City GLENDALE
Zip Code 85306

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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