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Community Counseling Centers Inc

Mental Health Clinic/Center (Including Community Mental Health Center) in Winslow, AZ · enumerated 2006 · authorized official Ivan Wilderman, Chief Executive Officer.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1669413175

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Registry record

Entity type Organization (Type 2)
Legal business name Community Counseling Centers Inc
Practice address 211 East Third Street, Winslow, AZ, 86047
Fax (928) 289-3775
Enumeration date Jun 8, 2006
Last updated in NPPES Aug 22, 2020

Taxonomy & classification

261QM0801X Mental Health Clinic/Center (Including Community Mental Health Center) Ambulatory Health Care Facilities · License BH141 (AZ) Primary

Authorized official

Name Ivan Wilderman
Title Chief Executive Officer

Other identifiers

Identifier Type State Issuer
007452 Other AZ AHCCCS

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Community Counseling Centers Inc?
Community Counseling Centers Inc is registered in NPPES as a Mental Health Clinic/Center (Including Community Mental Health Center) (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.