Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mingus Mountain Estate Residential Center Inc

Organization Mental Health Counselor · NPI 1942347034

Mingus Mountain Estate Residential Center Inc is a Mental Health Counselor in Prescott Valley, Arizona. Licensed in Arizona. Registered with an NPI since 2007.

Licensed in
AZ
In the registry since
2007
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8349 E Spouse Dr Ste B
Prescott Valley, AZ 86314
Phone: (602) 335-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X · Licence BH 2839 (AZ)
Mental Health Counselor Taxonomy 101YM0800X · Licence BH-2839 (AZ)

Record details

NPI number1942347034
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Chris Banken — Executive Director · (602) 335-2000
Other names Mingus Mountain Academy
NPI enumeratedJanuary 30, 2007
Last updated in NPPESSeptember 11, 2025
Mailing addressPo Box 26485, Prescott Valley, AZ 86312-6485

Other providers in Prescott Valley