Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Mingus Mountain Estate Residential Center Inc

Organization Mental Health Counselor · NPI 1942347034

Mingus Mountain Estate Residential Center Inc provides Mental Health Counselor services 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