Mingus Mountain Estate Residential Center Inc
NPI 1356358519 · Emotionally Disturbed Childrens' Residential Treatment Facility · Prescott Valley, AZ
Mingus Mountain Estate Residential Center Inc is a Emotionally Disturbed Childrens' Residential Treatment Facility organization in Prescott Valley, AZ (NPI 1356358519).
Provider details
- NPI number
- 1356358519
- Entity type
- Organization
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Randy Copas, Executive Director(602) 335-2000
- License
- BH-312 (AZ)
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
Mailing address
Registry dates
- Enumerated
- 2006-08-01
- Last updated
- 2023-06-19
- Certified
- 2023-06-19
Frequently asked questions
- What is Mingus Mountain Estate Residential Center Inc's NPI number?
- Mingus Mountain Estate Residential Center Inc's National Provider Identifier (NPI) is 1356358519, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mingus Mountain Estate Residential Center Inc?
- Mingus Mountain Estate Residential Center Inc is classified in the NPPES registry as Emotionally Disturbed Childrens' Residential Treatment Facility (Residential Treatment Facilities).
- Where is Mingus Mountain Estate Residential Center Inc located?
- Mingus Mountain Estate Residential Center Inc's practice location on file with NPPES is 15801 E Don Carlos Dr, Prescott Valley, AZ 86315-4109.
- What is Mingus Mountain Estate Residential Center Inc's phone number?
- The practice phone number listed in the NPPES registry for Mingus Mountain Estate Residential Center Inc is (602) 335-2068.
- Who is the authorized official for Mingus Mountain Estate Residential Center Inc?
- The authorized official listed on Mingus Mountain Estate Residential Center Inc's NPPES record is Randy Copas, Executive Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mingus Mountain Estate Residential Center Inc's NPI active?
- Yes — Mingus Mountain Estate Residential Center Inc's NPI (1356358519) is active in the NPPES registry as of the last update on 2023-06-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.