MR. RONALD GRANT MACDONALD LPC LISAC NPI 1871558361

NPI Information

NPI: 1871558361
Provider Name: MR. RONALD GRANT MACDONALD, LPC, LISAC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

PECOS Registration: Yes

Address:
463 S. LAKE POWELL BLVD
PAGE, AZ
ZIP 86040
Phone: (928) 645-5113
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MR. Ronald Grant Macdonald, LPC, LISAC is a professional counselor in Page, AZ. MR. Ronald Grant Macdonald, LPC, LISAC NPI is 1871558361. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

463 S. LAKE POWELL BLVD
PAGE, AZ
ZIP 86040-790
Phone: (928) 645-5113
Fax: (928) 645-3254

The NPI 1871558361 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 4/19/2006 and was last updated on 5/14/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	LISAC-0989	ARIZONA	No
2	101YP2500X	Counselor	Professional	LPC-10208	ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	832859	MEDICAID	ARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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