Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1568063154 Individual Practitioner Female Practitioner

Cleshaun A Dubose , LAC

Counselor - Professional • Phoenix, AZ

Professional Overview & Biography Verified Profile Summary

Cleshaun Dubose, LAC is a registered healthcare professional specializing in Counselor - Professional in Phoenix, AZ. Practice services are available at 4131 N 24TH ST STE B102 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4131 N 24th St Ste B102

Phoenix, AZ 850166231

Telephone 4808824545
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Phoenix, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.8 Yrs
State Avg: 15.4 Yrs
Regional Practice Density
763 Specialists

Practicing in Phoenix, AZ (3051 Statewide)

Telehealth Adoption Rate
4.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-06-07
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License AZ LAC-19354

Definition to come...

Secondary Practice Locations

6344 E Brown Rd Ste 104

Mesa, AZ 852054843

Phone: 8443853747

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Thomas Knutson , MD

Psychiatry & Neurology - Psychiatry

NPI 1003109745

Doctor of Medicine (M.D.)

Bethany Killian

Counselor - Professional

NPI 1003567660
Nanette Klaus , LPC

Counselor - Mental Health

NPI 1003682303

Licensed Professional Counselor

Dr. Veronica Pace , MD

Family Medicine

NPI 1013599844

Doctor of Medicine (M.D.)

Annie Custer , LCSW

Social Worker - Clinical

NPI 1013626944

Licensed Clinical Social Worker

Cassidy Brooking-Lang , LCSW

Social Worker - Clinical

NPI 1033512249

Licensed Clinical Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location June 07, 2022

Registered at 4131 N 24TH ST STE B102, PHOENIX, AZ 850166231 (Tel: 4808824545)

📍
Updated Business Mailing Address June 07, 2022

Registered at 9375 E SHEA BLVD STE 100, SCOTTSDALE, AZ 852606986 (Tel: 8772071144)

NPI Profile Active November 02, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location November 02, 2020

Registered at 6344 E BROWN RD STE 104, MESA, AZ 852054843 (Tel: 8443853747)

📍
Updated Business Mailing Address November 02, 2020

Registered at 11221 S 51ST ST APT 1059, PHOENIX, AZ 850444303 (Tel: 6234551581)

👤
Provider Name / Credentials Updated November 02, 2020

Recorded as CLESHAUN DUBOSE, LAC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 02, 2020

Counselor (License #LAC-19354 in AZ)

🟢
Initial NPI Registration & Enumeration November 02, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1568063154
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 02, 2020
Last Update: June 07, 2022
Sole Proprietor: No

Mailing Address

9375 E Shea Blvd Ste 100

Scottsdale, AZ 852606986

Phone: 8772071144

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.