IndividualActive
Mark Gonchar, LASAC
NPI 1003399403 · Addiction (Substance Use Disorder) Counselor · Rimrock, AZ
Provider details
- NPI number
- 1003399403
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- LASAC
- Sex
- Male
- Sole proprietor
- No
- License
- 13156 (AZ)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3095 E Coronado Trl
Rimrock, AZ 86335-5284
Phone: (928) 567-1322
Street-level locationGet directions
Mailing address
Po Box 230
Rimrock, AZ 86335-0230
Registry dates
- Enumerated
- 2018-09-11
- Last updated
- 2018-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.