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} ] } ] }, { "negotiation_arrangement": "ffs", "billing_code_type": "CPT", "billing_code_type_version": "2021", "billing_code": "90791", "description": "Individual Initial Evaluation", "negotiated_rates": [ { "provider_groups": [ { "npi": [ 1255874459 ], "tin": { "type": "ein", "value": "47-5645538" } } ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 148.0, "expiration_date": "2028-12-31", "zipcode": "85255", "state": "AZ", "service_code": [ "10" ], "additional_information": "Licensed Clinical Social Worker (LCSW)" }, { "negotiated_type": "negotiated", "negotiated_rate": 178.0, "expiration_date": "2028-12-31", "zipcode": "85255", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Clinical Social Worker (LCSW)" } ] } ] }, { "negotiation_arrangement": "ffs", "billing_code_type": "CPT", "billing_code_type_version": "2021", "billing_code": "90791", "description": "Couples Initial Evaluation", "negotiated_rates": [ { "provider_groups": [ { "npi": [ 1255874459 ], "tin": { "type": "ein", "value": "47-5645538" } } ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 178.0, "expiration_date": "2028-12-31", "zipcode": "85257", "state": "AZ", "service_code": [ "11" ], "additional_information": "Clinical Psychologist (PhD/PsyD)" }, { "negotiated_type": "negotiated", "negotiated_rate": 233.0, "expiration_date": "2028-12-31", "zipcode": "85257", "state": "AZ", "service_code": [ "11" ], "additional_information": "Currently in the process of also obtaining an LPC for Arizona. Already have Colorado state LPC" }, { "negotiated_type": "negotiated", "negotiated_rate": 158.0, "expiration_date": "2028-12-31", "zipcode": "85257", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Clinical Social Worker (LCSW)" }, { "negotiated_type": "negotiated", "negotiated_rate": 233.0, "expiration_date": "2028-12-31", "zipcode": "85257", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Professional Counselor (LPC)" } ] } ] }, { "negotiation_arrangement": "ffs", "billing_code_type": "CPT", "billing_code_type_version": "2021", "billing_code": "90791", "description": "Individual Initial Evaluation", "negotiated_rates": [ { "provider_groups": [ { "npi": [ 1255874459 ], "tin": { "type": "ein", "value": "47-5645538" } } ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 163.0, "expiration_date": "2028-12-31", "zipcode": "85257", "state": "AZ", "service_code": [ "11" ], "additional_information": "Clinical Psychologist (PhD/PsyD)" }, { "negotiated_type": "negotiated", "negotiated_rate": 208.0, "expiration_date": "2028-12-31", "zipcode": "85257", "state": "AZ", "service_code": [ "11" ], "additional_information": "Currently in the process of also obtaining an LPC for Arizona. Already have Colorado state LPC" }, { "negotiated_type": "negotiated", "negotiated_rate": 158.0, "expiration_date": "2028-12-31", "zipcode": "85257", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Clinical Social Worker (LCSW)" }, { "negotiated_type": "negotiated", "negotiated_rate": 158.0, "expiration_date": "2028-12-31", "zipcode": "85257", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Professional Counselor (LPC)" }, { "negotiated_type": "negotiated", "negotiated_rate": 208.0, "expiration_date": "2028-12-31", "zipcode": "85257", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Professional Counselor (LPC)" } ] } ] }, { "negotiation_arrangement": "ffs", "billing_code_type": "CPT", "billing_code_type_version": "2021", "billing_code": "90791", "description": "Child Initial Evaluation Session", "negotiated_rates": [ { "provider_groups": [ { "npi": [ 1255874459 ], "tin": { "type": "ein", "value": 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"expiration_date": "2028-12-31", "zipcode": "85259", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Clinical Social Worker (LCSW)" } ] } ] }, { "negotiation_arrangement": "ffs", "billing_code_type": "CPT", "billing_code_type_version": "2021", "billing_code": "90791", "description": "Child Initial Evaluation Session", "negotiated_rates": [ { "provider_groups": [ { "npi": [ 1255874459 ], "tin": { "type": "ein", "value": "47-5645538" } } ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 163.0, "expiration_date": "2028-12-31", "zipcode": "85260", "state": "AZ", "service_code": [ "10" ], "additional_information": "Licensed Clinical Social Worker (LCSW)" }, { "negotiated_type": "negotiated", "negotiated_rate": 183.0, "expiration_date": "2028-12-31", "zipcode": "85260", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Clinical Social Worker (LCSW)" } ] } ] }, { "negotiation_arrangement": "ffs", 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"negotiated_type": "negotiated", "negotiated_rate": 168.0, "expiration_date": "2028-12-31", "zipcode": "85204", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Clinical Social Worker (LCSW)" }, { "negotiated_type": "negotiated", "negotiated_rate": 178.0, "expiration_date": "2028-12-31", "zipcode": "85206", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Clinical Social Worker (LCSW)" }, { "negotiated_type": "negotiated", "negotiated_rate": 168.0, "expiration_date": "2028-12-31", "zipcode": "85206", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Professional Counselor (LPC)" }, { "negotiated_type": "negotiated", "negotiated_rate": 178.0, "expiration_date": "2028-12-31", "zipcode": "85206", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Professional Counselor (LPC)" }, { "negotiated_type": "negotiated", "negotiated_rate": 193.0, "expiration_date": "2028-12-31", "zipcode": "85206", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Professional Counselor (LPC)" } ] } ] }, { "negotiation_arrangement": "ffs", "billing_code_type": "CPT", "billing_code_type_version": "2021", "billing_code": "90837", "description": "Child Follow Up Session", "negotiated_rates": [ { "provider_groups": [ { "npi": [ 1255874459 ], "tin": { "type": "ein", "value": "47-5645538" } } ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 163.0, "expiration_date": "2028-12-31", "zipcode": "85208", "state": "AZ", "service_code": [ "10" ], "additional_information": "Licensed Professional Counselor (LPC)" }, { "negotiated_type": "negotiated", "negotiated_rate": 183.0, "expiration_date": "2028-12-31", "zipcode": "85208", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Professional Counselor (LPC)" } ] } ] }, { "negotiation_arrangement": "ffs", "billing_code_type": "CPT", "billing_code_type_version": "2021", "billing_code": "90837", "description": "Individual Follow-Up Session", "negotiated_rates": [ { "provider_groups": [ { "npi": [ 1255874459 ], "tin": { "type": "ein", "value": "47-5645538" } } ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 178.0, "expiration_date": "2028-12-31", "zipcode": "85208", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Marriage and Family Therapist (LMFT)" }, { "negotiated_type": "negotiated", "negotiated_rate": 148.0, "expiration_date": "2028-12-31", "zipcode": "85208", "state": "AZ", "service_code": [ "10" ], "additional_information": "Licensed Professional Counselor (LPC)" }, { "negotiated_type": "negotiated", "negotiated_rate": 163.0, "expiration_date": "2028-12-31", "zipcode": "85208", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Professional Counselor (LPC)" }, { "negotiated_type": "negotiated", "negotiated_rate": 168.0, "expiration_date": "2028-12-31", "zipcode": "85208", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Professional Counselor (LPC)" } ] } ] }, { "negotiation_arrangement": "ffs", "billing_code_type": "CPT", "billing_code_type_version": "2021", "billing_code": "90837", "description": "Child Follow Up Session", "negotiated_rates": [ { "provider_groups": [ { "npi": [ 1255874459 ], "tin": { "type": "ein", "value": "47-5645538" } } ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 168.0, "expiration_date": "2028-12-31", "zipcode": "85210", "state": "AZ", "service_code": [ "10" ], "additional_information": "Licensed Marriage and Family Therapist (LMFT)" }, { "negotiated_type": "negotiated", "negotiated_rate": 168.0, "expiration_date": "2028-12-31", "zipcode": "85210", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Marriage and Family Therapist (LMFT)" } ] } ] }, { "negotiation_arrangement": "ffs", "billing_code_type": "CPT", "billing_code_type_version": "2021", "billing_code": "90837", "description": "Individual Follow-Up Session", "negotiated_rates": [ { "provider_groups": [ { "npi": [ 1255874459 ], "tin": { "type": "ein", "value": "47-5645538" } } ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 153.0, "expiration_date": "2028-12-31", "zipcode": "85210", "state": "AZ", "service_code": [ "10" ], "additional_information": "Licensed Marriage and Family Therapist (LMFT)" }, { "negotiated_type": "negotiated", "negotiated_rate": 153.0, "expiration_date": "2028-12-31", "zipcode": "85210", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Marriage and Family Therapist (LMFT)" }, { "negotiated_type": "negotiated", "negotiated_rate": 198.0, "expiration_date": "2028-12-31", "zipcode": "85210", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Marriage and Family Therapist (LMFT)" }, { "negotiated_type": "negotiated", "negotiated_rate": 148.0, "expiration_date": "2028-12-31", "zipcode": "85210", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Professional Counselor (LPC)" } ] } ] }, { "negotiation_arrangement": "ffs", "billing_code_type": "CPT", "billing_code_type_version": "2021", "billing_code": "90837", "description": "Child Follow Up Session", "negotiated_rates": [ { "provider_groups": [ { "npi": [ 1255874459 ], "tin": { "type": "ein", "value": "47-5645538" } } ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 163.0, "expiration_date": "2028-12-31", "zipcode": "85212", "state": "AZ", "service_code": [ "10" ], "additional_information": "Licensed Professional Counselor (LPC)" }, { "negotiated_type": "negotiated", "negotiated_rate": 183.0, "expiration_date": "2028-12-31", "zipcode": "85212", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Professional Counselor (LPC)" } ] } ] }, { "negotiation_arrangement": "ffs", "billing_code_type": "CPT", "billing_code_type_version": "2021", "billing_code": "90837", "description": "Individual Follow-Up Session", "negotiated_rates": [ { "provider_groups": [ { "npi": [ 1255874459 ], "tin": { "type": "ein", "value": "47-5645538" } } ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 148.0, "expiration_date": "2028-12-31", "zipcode": "85212", "state": "AZ", "service_code": [ "10" ], "additional_information": "Licensed Professional Counselor (LPC)" }, { "negotiated_type": "negotiated", "negotiated_rate": 133.0, "expiration_date": "2028-12-31", "zipcode": "85212", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Professional Counselor (LPC)" }, { "negotiated_type": "negotiated", "negotiated_rate": 158.0, "expiration_date": "2028-12-31", "zipcode": "85212", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Professional Counselor (LPC)" }, { "negotiated_type": "negotiated", "negotiated_rate": 168.0, "expiration_date": "2028-12-31", "zipcode": "85212", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Professional Counselor (LPC)" }, { "negotiated_type": "negotiated", "negotiated_rate": 178.0, "expiration_date": "2028-12-31", "zipcode": "85215", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Professional Counselor (LPC)" } ] } ] }, { "negotiation_arrangement": "ffs", "billing_code_type": "CPT", "billing_code_type_version": "2021", "billing_code": "90837", "description": "Child Follow Up Session", "negotiated_rates": [ { "provider_groups": [ { "npi": [ 1255874459 ], "tin": { "type": "ein", "value": "47-5645538" } } ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 163.0, "expiration_date": "2028-12-31", "zipcode": "85225", "state": "AZ", "service_code": [ "10" ], "additional_information": "Licensed Clinical Social Worker (LCSW)" }, { "negotiated_type": "negotiated", "negotiated_rate": 183.0, "expiration_date": "2028-12-31", "zipcode": "85225", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Clinical Social Worker (LCSW)" } ] } ] }, { "negotiation_arrangement": "ffs", "billing_code_type": "CPT", "billing_code_type_version": "2021", "billing_code": "90837", "description": "Individual Follow-Up Session", "negotiated_rates": [ { "provider_groups": [ { "npi": [ 1255874459 ], "tin": { "type": "ein", "value": "47-5645538" } } ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 218.0, "expiration_date": "2028-12-31", "zipcode": "85225", "state": "AZ", "service_code": [ "11" ], "additional_information": "Clinical Psychologist (PhD/PsyD)" }, { "negotiated_type": "negotiated", "negotiated_rate": 158.0, "expiration_date": "2028-12-31", "zipcode": "85225", "state": "AZ", "service_code": [ "11" ], "additional_information": "LCPC" }, { "negotiated_type": "negotiated", "negotiated_rate": 148.0, "expiration_date": "2028-12-31", "zipcode": "85225", "state": "AZ", "service_code": [ "10" ], "additional_information": "Licensed Clinical Social Worker (LCSW)" }, { "negotiated_type": "negotiated", "negotiated_rate": 168.0, "expiration_date": "2028-12-31", "zipcode": "85225", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Clinical Social Worker (LCSW)" }, { "negotiated_type": "negotiated", "negotiated_rate": 133.0, "expiration_date": "2028-12-31", "zipcode": "85225", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Marriage and Family Therapist (LMFT)" }, { "negotiated_type": "negotiated", "negotiated_rate": 158.0, "expiration_date": "2028-12-31", "zipcode": "85225", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Professional Counselor (LPC)" }, { "negotiated_type": "negotiated", "negotiated_rate": 193.0, "expiration_date": "2028-12-31", "zipcode": "85225", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Professional Counselor (LPC)" }, { "negotiated_type": "negotiated", "negotiated_rate": 198.0, "expiration_date": "2028-12-31", "zipcode": "85225", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Professional Counselor (LPC)" }, { "negotiated_type": "negotiated", "negotiated_rate": 198.0, "expiration_date": "2028-12-31", "zipcode": "85225", "state": "AZ", "service_code": [ "11" ], "additional_information": "MS, LPC-S, CIMHP, CIMNTT, CCATP, CTMH" }, { "negotiated_type": "negotiated", "negotiated_rate": 153.0, "expiration_date": "2028-12-31", "zipcode": "85226", "state": "AZ", "service_code": [ "10" ], "additional_information": "Licensed Professional Counselor (LPC)" }, { "negotiated_type": "negotiated", "negotiated_rate": 158.0, "expiration_date": "2028-12-31", "zipcode": "85226", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Professional Counselor (LPC)" }, { "negotiated_type": "negotiated", "negotiated_rate": 168.0, "expiration_date": "2028-12-31", "zipcode": "85226", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Professional Counselor (LPC)" }, { "negotiated_type": "negotiated", "negotiated_rate": 188.0, "expiration_date": "2028-12-31", "zipcode": "85233", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Marriage and Family Therapist (LMFT)" }, { "negotiated_type": "negotiated", "negotiated_rate": 178.0, "expiration_date": "2028-12-31", "zipcode": "85234", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Professional Counselor (LPC)" }, { "negotiated_type": "negotiated", "negotiated_rate": 183.0, "expiration_date": "2028-12-31", "zipcode": "85234", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Professional Counselor (LPC)" }, { "negotiated_type": "negotiated", "negotiated_rate": 188.0, "expiration_date": "2028-12-31", "zipcode": "85234", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Professional Counselor (LPC)" }, { "negotiated_type": "negotiated", "negotiated_rate": 193.0, "expiration_date": "2028-12-31", "zipcode": "85236", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Professional Counselor (LPC)" }, { "negotiated_type": "negotiated", "negotiated_rate": 203.0, "expiration_date": "2028-12-31", "zipcode": "85244", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Marriage and Family Therapist (LMFT)" }, { "negotiated_type": "negotiated", "negotiated_rate": 208.0, "expiration_date": "2028-12-31", "zipcode": "85248", "state": "AZ", "service_code": [ "11" ], "additional_information": "LCSW in state of AZ and WA" }, { "negotiated_type": "negotiated", "negotiated_rate": 158.0, "expiration_date": "2028-12-31", "zipcode": "85248", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Clinical Social Worker (LCSW)" }, { "negotiated_type": "negotiated", "negotiated_rate": 183.0, "expiration_date": "2028-12-31", "zipcode": "85248", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Clinical Social Worker (LCSW)" }, { "negotiated_type": "negotiated", "negotiated_rate": 208.0, "expiration_date": "2028-12-31", "zipcode": "85248", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Clinical Social Worker (LCSW)" }, { "negotiated_type": "negotiated", "negotiated_rate": 193.0, "expiration_date": "2028-12-31", "zipcode": "85248", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Marriage and Family Therapist (LMFT)" }, { "negotiated_type": "negotiated", "negotiated_rate": 188.0, "expiration_date": "2028-12-31", "zipcode": "85248", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Professional Counselor (LPC);Licensed Mental Health Counselor (LMHC)" }, { "negotiated_type": "negotiated", "negotiated_rate": 158.0, "expiration_date": "2028-12-31", "zipcode": "85249", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Clinical Social Worker (LCSW)" }, { "negotiated_type": "negotiated", "negotiated_rate": 218.0, "expiration_date": "2028-12-31", "zipcode": "85250", "state": "AZ", "service_code": [ "11" ], "additional_information": "Clinical Psychologist (PhD/PsyD)" }, { "negotiated_type": "negotiated", "negotiated_rate": 148.0, "expiration_date": "2028-12-31", "zipcode": "85250", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Professional Counselor (LPC)" }, { "negotiated_type": "negotiated", "negotiated_rate": 148.0, "expiration_date": "2028-12-31", "zipcode": "85250", "state": "AZ", "service_code": [ "11" ], "additional_information": "Lic Independent Substance Abuse Counselor" }, { "negotiated_type": "negotiated", "negotiated_rate": 158.0, "expiration_date": "2028-12-31", "zipcode": "85251", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Clinical Social Worker (LCSW)" }, { "negotiated_type": "negotiated", "negotiated_rate": 178.0, "expiration_date": "2028-12-31", "zipcode": "85251", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Clinical Social Worker (LCSW)" }, { "negotiated_type": "negotiated", "negotiated_rate": 188.0, "expiration_date": "2028-12-31", "zipcode": "85251", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Clinical Social Worker (LCSW)" }, { "negotiated_type": "negotiated", "negotiated_rate": 143.0, "expiration_date": "2028-12-31", "zipcode": "85253", "state": "AZ", "service_code": [ "10" ], "additional_information": "Licensed Clinical Social Worker (LCSW)" }, { "negotiated_type": "negotiated", "negotiated_rate": 143.0, "expiration_date": "2028-12-31", "zipcode": "85253", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Clinical Social Worker (LCSW)" } ] } ] }, { "negotiation_arrangement": "ffs", "billing_code_type": "CPT", "billing_code_type_version": "2021", "billing_code": "90837", "description": "Child Follow Up Session", "negotiated_rates": [ { "provider_groups": [ { "npi": [ 1255874459 ], "tin": { "type": "ein", "value": "47-5645538" } } ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 203.0, "expiration_date": "2028-12-31", "zipcode": "85254", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Clinical Social Worker (LCSW)" } ] } ] }, { "negotiation_arrangement": "ffs", "billing_code_type": "CPT", "billing_code_type_version": "2021", "billing_code": "90837", "description": "Individual Follow-Up Session", "negotiated_rates": [ { "provider_groups": [ { "npi": [ 1255874459 ], "tin": { "type": "ein", "value": "47-5645538" } } ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 238.0, "expiration_date": "2028-12-31", "zipcode": "85254", "state": "AZ", "service_code": [ "11" ], "additional_information": "Clinical Psychologist (PhD/PsyD)" }, { "negotiated_type": "negotiated", "negotiated_rate": 148.0, "expiration_date": "2028-12-31", "zipcode": "85254", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Clinical Social Worker (LCSW)" }, { "negotiated_type": "negotiated", "negotiated_rate": 178.0, "expiration_date": "2028-12-31", "zipcode": "85254", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Clinical Social Worker (LCSW)" }, { "negotiated_type": "negotiated", "negotiated_rate": 153.0, "expiration_date": "2028-12-31", "zipcode": "85254", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Professional Counselor (LPC)" }, { "negotiated_type": "negotiated", "negotiated_rate": 178.0, "expiration_date": "2028-12-31", "zipcode": "85254", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Professional Counselor (LPC)" }, { "negotiated_type": "negotiated", "negotiated_rate": 183.0, "expiration_date": "2028-12-31", "zipcode": "85254", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Professional Counselor (LPC)" } ] } ] }, { "negotiation_arrangement": "ffs", "billing_code_type": "CPT", "billing_code_type_version": "2021", "billing_code": "90837", "description": "Child Follow Up Session", "negotiated_rates": [ { "provider_groups": [ { "npi": [ 1255874459 ], "tin": { "type": "ein", "value": "47-5645538" } } ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 163.0, "expiration_date": "2028-12-31", "zipcode": "85255", "state": "AZ", "service_code": [ "10" ], "additional_information": "Licensed Clinical Social Worker (LCSW)" }, { "negotiated_type": "negotiated", "negotiated_rate": 193.0, "expiration_date": "2028-12-31", "zipcode": "85255", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Clinical Social Worker (LCSW)" } ] } ] }, { "negotiation_arrangement": "ffs", "billing_code_type": "CPT", "billing_code_type_version": "2021", "billing_code": "90837", "description": "Individual Follow-Up Session", "negotiated_rates": [ { "provider_groups": [ { "npi": [ 1255874459 ], "tin": { "type": "ein", "value": "47-5645538" } } ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 148.0, "expiration_date": "2028-12-31", "zipcode": "85255", "state": "AZ", "service_code": [ "10" ], "additional_information": "Licensed Clinical Social Worker (LCSW)" }, { "negotiated_type": "negotiated", "negotiated_rate": 178.0, "expiration_date": "2028-12-31", "zipcode": "85255", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Clinical Social Worker (LCSW)" }, { "negotiated_type": "negotiated", "negotiated_rate": 163.0, "expiration_date": "2028-12-31", "zipcode": "85257", "state": "AZ", "service_code": [ "11" ], "additional_information": "Clinical Psychologist (PhD/PsyD)" }, { "negotiated_type": "negotiated", "negotiated_rate": 208.0, "expiration_date": "2028-12-31", "zipcode": "85257", "state": "AZ", "service_code": [ "11" ], "additional_information": "Currently in the process of also obtaining an LPC for Arizona. Already have Colorado state LPC" }, { "negotiated_type": "negotiated", "negotiated_rate": 158.0, "expiration_date": "2028-12-31", "zipcode": "85257", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Clinical Social Worker (LCSW)" }, { "negotiated_type": "negotiated", "negotiated_rate": 158.0, "expiration_date": "2028-12-31", "zipcode": "85257", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Professional Counselor (LPC)" }, { "negotiated_type": "negotiated", "negotiated_rate": 208.0, "expiration_date": "2028-12-31", "zipcode": "85257", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Professional Counselor (LPC)" } ] } ] }, { "negotiation_arrangement": "ffs", "billing_code_type": "CPT", "billing_code_type_version": "2021", "billing_code": "90837", "description": "Child Follow Up Session", "negotiated_rates": [ { "provider_groups": [ { "npi": [ 1255874459 ], "tin": { "type": "ein", "value": "47-5645538" } } ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 168.0, "expiration_date": "2028-12-31", "zipcode": "85258", "state": "AZ", "service_code": [ "10" ], "additional_information": "Licensed Professional Counselor (LPC)" }, { "negotiated_type": "negotiated", "negotiated_rate": 168.0, "expiration_date": "2028-12-31", "zipcode": "85258", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Professional Counselor (LPC)" } ] } ] }, { "negotiation_arrangement": "ffs", "billing_code_type": "CPT", "billing_code_type_version": "2021", "billing_code": "90837", "description": "Individual Follow-Up Session", "negotiated_rates": [ { "provider_groups": [ { "npi": [ 1255874459 ], "tin": { "type": "ein", "value": "47-5645538" } } ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 153.0, "expiration_date": "2028-12-31", "zipcode": "85258", "state": "AZ", "service_code": [ "10" ], "additional_information": "Licensed Professional Counselor (LPC)" }, { "negotiated_type": "negotiated", "negotiated_rate": 153.0, "expiration_date": "2028-12-31", "zipcode": "85258", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Professional Counselor (LPC)" }, { "negotiated_type": "negotiated", "negotiated_rate": 173.0, "expiration_date": "2028-12-31", "zipcode": "85258", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Professional Counselor (LPC)" }, { "negotiated_type": "negotiated", "negotiated_rate": 183.0, "expiration_date": "2028-12-31", "zipcode": "85258", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Professional Counselor (LPC)" }, { "negotiated_type": "negotiated", "negotiated_rate": 153.0, "expiration_date": "2028-12-31", "zipcode": "85259", "state": "AZ", "service_code": [ "10" ], "additional_information": "Licensed Clinical Social Worker (LCSW)" }, { "negotiated_type": "negotiated", "negotiated_rate": 173.0, "expiration_date": "2028-12-31", "zipcode": "85259", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Clinical Social Worker (LCSW)" } ] } ] }, { "negotiation_arrangement": "ffs", "billing_code_type": "CPT", "billing_code_type_version": "2021", "billing_code": "90837", "description": "Child Follow Up Session", "negotiated_rates": [ { "provider_groups": [ { "npi": [ 1255874459 ], "tin": { "type": "ein", "value": "47-5645538" } } ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 163.0, "expiration_date": "2028-12-31", "zipcode": "85260", "state": "AZ", "service_code": [ "10" ], "additional_information": "Licensed Clinical Social Worker (LCSW)" }, { "negotiated_type": "negotiated", "negotiated_rate": 183.0, "expiration_date": "2028-12-31", "zipcode": "85260", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Clinical Social Worker (LCSW)" } ] } ] }, { "negotiation_arrangement": "ffs", "billing_code_type": "CPT", "billing_code_type_version": "2021", "billing_code": "90837", "description": "Individual Follow-Up Session", "negotiated_rates": [ { "provider_groups": [ { "npi": [ 1255874459 ], "tin": { "type": "ein", "value": "47-5645538" } } ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 148.0, "expiration_date": "2028-12-31", "zipcode": "85260", "state": "AZ", "service_code": [ "10" ], "additional_information": "Licensed Clinical Social Worker (LCSW)" }, { "negotiated_type": "negotiated", "negotiated_rate": 168.0, "expiration_date": "2028-12-31", "zipcode": "85260", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Clinical Social Worker (LCSW)" }, { "negotiated_type": "negotiated", "negotiated_rate": 183.0, "expiration_date": "2028-12-31", "zipcode": "85260", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Clinical Social Worker (LCSW)" }, { "negotiated_type": "negotiated", "negotiated_rate": 158.0, "expiration_date": "2028-12-31", "zipcode": "85260", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Professional Counselor (LPC)" }, { "negotiated_type": "negotiated", "negotiated_rate": 178.0, "expiration_date": "2028-12-31", "zipcode": "85260", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Professional Counselor (LPC)" } ] } ] }, { "negotiation_arrangement": "ffs", "billing_code_type": "CPT", "billing_code_type_version": "2021", "billing_code": "90837", "description": "Child Follow Up Session", "negotiated_rates": [ { "provider_groups": [ { "npi": [ 1255874459 ], "tin": { "type": "ein", "value": "47-5645538" } } ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 163.0, "expiration_date": "2028-12-31", "zipcode": "85267", "state": "AZ", "service_code": [ "10" ], "additional_information": "Licensed Professional Counselor (LPC)" }, { "negotiated_type": "negotiated", "negotiated_rate": 183.0, "expiration_date": "2028-12-31", "zipcode": "85267", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Professional Counselor (LPC)" } ] } ] }, { "negotiation_arrangement": "ffs", "billing_code_type": "CPT", "billing_code_type_version": "2021", "billing_code": "90837", "description": "Individual Follow-Up Session", "negotiated_rates": [ { "provider_groups": [ { "npi": [ 1255874459 ], "tin": { "type": "ein", "value": "47-5645538" } } ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 148.0, "expiration_date": "2028-12-31", "zipcode": "85267", "state": "AZ", "service_code": [ "10" ], "additional_information": "Licensed Professional Counselor (LPC)" }, { "negotiated_type": "negotiated", "negotiated_rate": 168.0, "expiration_date": "2028-12-31", "zipcode": "85267", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Professional Counselor (LPC)" }, { "negotiated_type": "negotiated", "negotiated_rate": 158.0, "expiration_date": "2028-12-31", "zipcode": "85268", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Behavior Anaylst (LBA)" }, { "negotiated_type": "negotiated", "negotiated_rate": 158.0, "expiration_date": "2028-12-31", "zipcode": "85268", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Professional Counselor (LPC)" }, { "negotiated_type": "negotiated", "negotiated_rate": 183.0, "expiration_date": "2028-12-31", "zipcode": "85281", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Professional Counselor (LPC)" }, { "negotiated_type": "negotiated", "negotiated_rate": 278.0, "expiration_date": "2028-12-31", "zipcode": "85282", "state": "AZ", "service_code": [ "11" ], "additional_information": "Clinical Psychologist (PhD/PsyD)" }, { "negotiated_type": "negotiated", "negotiated_rate": 153.0, "expiration_date": "2028-12-31", "zipcode": "85283", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Marriage and Family Therapist (LMFT)" }, { "negotiated_type": "negotiated", "negotiated_rate": 153.0, "expiration_date": "2028-12-31", "zipcode": "85283", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Professional Counselor (LPC)" }, { "negotiated_type": "negotiated", "negotiated_rate": 158.0, "expiration_date": "2028-12-31", "zipcode": "85284", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Clinical Social Worker (LCSW)" }, { "negotiated_type": "negotiated", "negotiated_rate": 178.0, "expiration_date": "2028-12-31", "zipcode": "85284", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Marriage and Family Therapist (LMFT)" } ] } ] }, { "negotiation_arrangement": "ffs", "billing_code_type": "CPT", "billing_code_type_version": "2021", "billing_code": "90837", "description": "Child Follow Up Session", "negotiated_rates": [ { "provider_groups": [ { "npi": [ 1255874459 ], "tin": { "type": "ein", "value": "47-5645538" } } ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 168.0, "expiration_date": "2028-12-31", "zipcode": "85286", "state": "AZ", "service_code": [ "10" ], "additional_information": "Licensed Clinical Social Worker (LCSW)" }, { "negotiated_type": "negotiated", "negotiated_rate": 168.0, "expiration_date": "2028-12-31", "zipcode": "85286", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Clinical Social Worker (LCSW)" } ] } ] }, { "negotiation_arrangement": "ffs", "billing_code_type": "CPT", "billing_code_type_version": "2021", "billing_code": "90837", "description": "Individual Follow-Up Session", "negotiated_rates": [ { "provider_groups": [ { "npi": [ 1255874459 ], "tin": { "type": "ein", "value": "47-5645538" } } ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 153.0, "expiration_date": "2028-12-31", "zipcode": "85286", "state": "AZ", "service_code": [ "10" ], "additional_information": "Licensed Clinical Social Worker (LCSW)" }, { "negotiated_type": "negotiated", "negotiated_rate": 153.0, "expiration_date": "2028-12-31", "zipcode": "85286", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Clinical Social Worker (LCSW)" }, { "negotiated_type": "negotiated", "negotiated_rate": 198.0, "expiration_date": "2028-12-31", "zipcode": "85286", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Clinical Social Worker (LCSW)" }, { "negotiated_type": "negotiated", "negotiated_rate": 188.0, "expiration_date": "2028-12-31", "zipcode": "85286", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Professional Counselor (LPC)" }, { "negotiated_type": "negotiated", "negotiated_rate": 148.0, "expiration_date": "2028-12-31", "zipcode": "85288", "state": "AZ", "service_code": [ "10" ], "additional_information": "Licensed Professional Counselor (LPC)" }, { "negotiated_type": "negotiated", "negotiated_rate": 168.0, "expiration_date": "2028-12-31", "zipcode": "85288", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Professional Counselor (LPC)" } ] } ] }, { "negotiation_arrangement": "ffs", "billing_code_type": "CPT", "billing_code_type_version": "2021", "billing_code": "90837", "description": "Child Follow Up Session", "negotiated_rates": [ { "provider_groups": [ { "npi": [ 1255874459 ], "tin": { "type": "ein", "value": "47-5645538" } } ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 163.0, "expiration_date": "2028-12-31", "zipcode": "85295", "state": "AZ", "service_code": [ "10" ], "additional_information": "Licensed Professional Counselor (LPC)" }, { "negotiated_type": "negotiated", "negotiated_rate": 183.0, "expiration_date": "2028-12-31", "zipcode": "85295", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Professional Counselor (LPC)" } ] } ] }, { "negotiation_arrangement": "ffs", "billing_code_type": "CPT", "billing_code_type_version": "2021", "billing_code": "90837", "description": "Individual Follow-Up Session", "negotiated_rates": [ { "provider_groups": [ { "npi": [ 1255874459 ], "tin": { "type": "ein", "value": "47-5645538" } } ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 148.0, "expiration_date": "2028-12-31", "zipcode": "85295", "state": "AZ", "service_code": [ "10" ], "additional_information": "Licensed Professional Counselor (LPC)" }, { "negotiated_type": "negotiated", "negotiated_rate": 168.0, "expiration_date": "2028-12-31", "zipcode": "85295", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Professional Counselor (LPC)" }, { "negotiated_type": "negotiated", "negotiated_rate": 208.0, "expiration_date": "2028-12-31", "zipcode": "85296", "state": "AZ", "service_code": [ "11" ], "additional_information": "Clinical Psychologist (PhD/PsyD)" }, { "negotiated_type": "negotiated", "negotiated_rate": 188.0, "expiration_date": "2028-12-31", "zipcode": "85296", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Marriage and Family Therapist (LMFT)" }, { "negotiated_type": "negotiated", "negotiated_rate": 158.0, "expiration_date": "2028-12-31", "zipcode": "85296", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Professional Counselor (LPC)" }, { "negotiated_type": "negotiated", "negotiated_rate": 178.0, "expiration_date": "2028-12-31", "zipcode": "85298", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Marriage and Family Therapist (LMFT)" }, { "negotiated_type": "negotiated", "negotiated_rate": 158.0, "expiration_date": "2028-12-31", "zipcode": "85302", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Professional Counselor (LPC)" }, { "negotiated_type": "negotiated", "negotiated_rate": 143.0, "expiration_date": "2028-12-31", "zipcode": "85306", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Professional Counselor (LPC)" } ] } ] }, { "negotiation_arrangement": "ffs", "billing_code_type": "CPT", "billing_code_type_version": "2021", "billing_code": "90837", "description": "Child Follow Up Session", "negotiated_rates": [ { "provider_groups": [ { "npi": [ 1255874459 ], "tin": { "type": "ein", "value": "47-5645538" } } ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 163.0, "expiration_date": "2028-12-31", "zipcode": "85307", "state": "AZ", "service_code": [ "10" ], "additional_information": "Licensed Professional Counselor (LPC)" }, { "negotiated_type": "negotiated", "negotiated_rate": 193.0, "expiration_date": "2028-12-31", "zipcode": "85307", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Professional Counselor (LPC)" } ] } ] }, { "negotiation_arrangement": "ffs", "billing_code_type": "CPT", "billing_code_type_version": "2021", "billing_code": "90837", "description": "Individual Follow-Up Session", "negotiated_rates": [ { "provider_groups": [ { "npi": [ 1255874459 ], "tin": { "type": "ein", "value": "47-5645538" } } ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 203.0, "expiration_date": "2028-12-31", "zipcode": "85307", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Clinical Social Worker (LCSW)" }, { "negotiated_type": "negotiated", "negotiated_rate": 148.0, "expiration_date": "2028-12-31", "zipcode": "85307", "state": "AZ", "service_code": [ "10" ], "additional_information": "Licensed Professional Counselor (LPC)" }, { "negotiated_type": "negotiated", "negotiated_rate": 178.0, "expiration_date": "2028-12-31", "zipcode": "85307", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Professional Counselor (LPC)" }, { "negotiated_type": "negotiated", "negotiated_rate": 208.0, "expiration_date": "2028-12-31", "zipcode": "85308", "state": "AZ", "service_code": [ "11" ], "additional_information": "Clinical Psychologist (PhD/PsyD)" }, { "negotiated_type": "negotiated", "negotiated_rate": 203.0, "expiration_date": "2028-12-31", "zipcode": "85308", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Clinical Social Worker (LCSW)" }, { "negotiated_type": "negotiated", "negotiated_rate": 193.0, "expiration_date": "2028-12-31", "zipcode": "85308", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Independent Substance Abuse Counselor" }, { "negotiated_type": "negotiated", "negotiated_rate": 148.0, "expiration_date": "2028-12-31", "zipcode": "85308", "state": "AZ", "service_code": [ "10" ], "additional_information": "Licensed Marriage and Family Therapist (LMFT)" }, { "negotiated_type": "negotiated", "negotiated_rate": 178.0, "expiration_date": "2028-12-31", "zipcode": "85308", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Marriage and Family Therapist (LMFT)" }, { "negotiated_type": "negotiated", "negotiated_rate": 183.0, "expiration_date": "2028-12-31", "zipcode": "85308", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Marriage and Family Therapist (LMFT)" }, { "negotiated_type": "negotiated", "negotiated_rate": 193.0, "expiration_date": "2028-12-31", "zipcode": "85308", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Marriage and Family Therapist (LMFT)" }, { "negotiated_type": "negotiated", "negotiated_rate": 208.0, "expiration_date": "2028-12-31", "zipcode": "85308", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Marriage and Family Therapist (LMFT)" }, { "negotiated_type": "negotiated", "negotiated_rate": 193.0, "expiration_date": "2028-12-31", "zipcode": "85308", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Professional Counselor" }, { "negotiated_type": "negotiated", "negotiated_rate": 148.0, "expiration_date": "2028-12-31", "zipcode": "85308", "state": "AZ", "service_code": [ "10" ], "additional_information": "Licensed Professional Counselor (LPC)" }, { "negotiated_type": "negotiated", "negotiated_rate": 178.0, "expiration_date": "2028-12-31", "zipcode": "85308", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Professional Counselor (LPC)" }, { "negotiated_type": "negotiated", "negotiated_rate": 193.0, "expiration_date": "2028-12-31", "zipcode": "85308", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Professional Counselor (LPC)" }, { "negotiated_type": "negotiated", "negotiated_rate": 198.0, "expiration_date": "2028-12-31", "zipcode": "85308", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Professional Counselor (LPC)" }, { "negotiated_type": "negotiated", "negotiated_rate": 208.0, "expiration_date": "2028-12-31", "zipcode": "85308", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Professional Counselor (LPC)" }, { "negotiated_type": "negotiated", "negotiated_rate": 238.0, "expiration_date": "2028-12-31", "zipcode": "85308", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Professional Counselor (LPC)" } ] } ] }, { "negotiation_arrangement": "ffs", "billing_code_type": "CPT", "billing_code_type_version": "2021", "billing_code": "90837", "description": "Child Follow Up Session", "negotiated_rates": [ { "provider_groups": [ { "npi": [ 1255874459 ], "tin": { "type": "ein", "value": "47-5645538" } } ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 163.0, "expiration_date": "2028-12-31", "zipcode": "85323", "state": "AZ", "service_code": [ "10" ], "additional_information": "Licensed Professional Counselor (LPC)" }, { "negotiated_type": "negotiated", "negotiated_rate": 193.0, "expiration_date": "2028-12-31", "zipcode": 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"negotiated_rate": 168.0, "expiration_date": "2028-12-31", "zipcode": "85704", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Clinical Social Worker (LCSW)" }, { "negotiated_type": "negotiated", "negotiated_rate": 148.0, "expiration_date": "2028-12-31", "zipcode": "85704", "state": "AZ", "service_code": [ "10" ], "additional_information": "Licensed Professional Counselor (LPC)" }, { "negotiated_type": "negotiated", "negotiated_rate": 168.0, "expiration_date": "2028-12-31", "zipcode": "85704", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Professional Counselor (LPC)" }, { "negotiated_type": "negotiated", "negotiated_rate": 153.0, "expiration_date": "2028-12-31", "zipcode": "85711", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Clinical Social Worker (LCSW)" }, { "negotiated_type": "negotiated", "negotiated_rate": 153.0, "expiration_date": "2028-12-31", "zipcode": "85711", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Independent Substance Abuse Counselor" }, { "negotiated_type": "negotiated", "negotiated_rate": 178.0, "expiration_date": "2028-12-31", "zipcode": "85711", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Professional Counselor (LPC)" }, { "negotiated_type": "negotiated", "negotiated_rate": 183.0, "expiration_date": "2028-12-31", "zipcode": "85711", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Professional Counselor (LPC)" }, { "negotiated_type": "negotiated", "negotiated_rate": 243.0, "expiration_date": "2028-12-31", "zipcode": "85715", "state": "AZ", "service_code": [ "11" ], "additional_information": "Clinical Psychologist (PhD/PsyD)" }, { "negotiated_type": "negotiated", "negotiated_rate": 148.0, "expiration_date": "2028-12-31", "zipcode": "85715", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Clinical Social Worker (LCSW)" }, { "negotiated_type": "negotiated", "negotiated_rate": 178.0, "expiration_date": "2028-12-31", "zipcode": "85715", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Marriage and Family Therapist (LMFT)" }, { "negotiated_type": "negotiated", "negotiated_rate": 168.0, "expiration_date": "2028-12-31", "zipcode": "85719", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Clinical Social Worker (LCSW)" }, { "negotiated_type": "negotiated", "negotiated_rate": 183.0, "expiration_date": "2028-12-31", "zipcode": "85719", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Clinical Social Worker (LCSW)" }, { "negotiated_type": "negotiated", "negotiated_rate": 158.0, "expiration_date": "2028-12-31", "zipcode": "85730", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Professional Counselor (LPC)" }, { "negotiated_type": "negotiated", "negotiated_rate": 228.0, "expiration_date": "2028-12-31", "zipcode": "85737", "state": "AZ", "service_code": [ "11" ], "additional_information": "Clinical Psychologist (PhD/PsyD)" }, { "negotiated_type": "negotiated", "negotiated_rate": 183.0, "expiration_date": "2028-12-31", "zipcode": "85737", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Professional Counselor (LPC)" }, { "negotiated_type": "negotiated", "negotiated_rate": 174.0, "expiration_date": "2028-12-31", "zipcode": "85739", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Clinical Social Worker (LCSW)" }, { "negotiated_type": "negotiated", "negotiated_rate": 188.0, "expiration_date": "2028-12-31", "zipcode": "85739", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Professional Counselor (LPC)" }, { "negotiated_type": "negotiated", "negotiated_rate": 178.0, "expiration_date": "2028-12-31", "zipcode": "85741", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Clinical Social Worker (LCSW)" }, { "negotiated_type": "negotiated", "negotiated_rate": 168.0, "expiration_date": "2028-12-31", "zipcode": "85741", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Professional Counselor (LPC)" }, { "negotiated_type": "negotiated", "negotiated_rate": 178.0, "expiration_date": "2028-12-31", "zipcode": "85741", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Professional Counselor (LPC)" }, { "negotiated_type": "negotiated", "negotiated_rate": 183.0, "expiration_date": "2028-12-31", "zipcode": "85741", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Professional Counselor (LPC)" }, { "negotiated_type": "negotiated", "negotiated_rate": 183.0, "expiration_date": "2028-12-31", "zipcode": "85741", "state": "AZ", "service_code": [ "11" ], "additional_information": "Limited License Psychologist (LLP), Clinical Professional License (CPC)" }, { "negotiated_type": "negotiated", "negotiated_rate": 178.0, "expiration_date": "2028-12-31", "zipcode": "85742", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Clinical Social Worker (LCSW)" }, { "negotiated_type": "negotiated", "negotiated_rate": 148.0, "expiration_date": "2028-12-31", "zipcode": "85742", "state": "AZ", "service_code": [ "10" ], "additional_information": "Licensed Professional Counselor (LPC)" }, { "negotiated_type": "negotiated", "negotiated_rate": 168.0, "expiration_date": "2028-12-31", "zipcode": "85742", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Professional Counselor (LPC)" }, { "negotiated_type": "negotiated", "negotiated_rate": 153.0, "expiration_date": "2028-12-31", "zipcode": "85743", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Professional Counselor (LPC)" }, { "negotiated_type": "negotiated", "negotiated_rate": 198.0, "expiration_date": "2028-12-31", "zipcode": "85743", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Professional Counselor (LPC)" }, { "negotiated_type": "negotiated", "negotiated_rate": 163.0, "expiration_date": "2028-12-31", "zipcode": "85745", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Professional Counselor (LPC)" }, { "negotiated_type": "negotiated", "negotiated_rate": 168.0, "expiration_date": "2028-12-31", "zipcode": "85747", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Professional Counselor (LPC)" }, { "negotiated_type": "negotiated", "negotiated_rate": 183.0, "expiration_date": "2028-12-31", "zipcode": "85750", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Marriage and Family Therapist (LMFT)" } ] } ] }, { "negotiation_arrangement": "ffs", "billing_code_type": "CPT", "billing_code_type_version": "2021", "billing_code": "90837", "description": "Child Follow Up Session", "negotiated_rates": [ { "provider_groups": [ { "npi": [ 1255874459 ], "tin": { "type": "ein", "value": "47-5645538" } } ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 168.0, "expiration_date": "2028-12-31", "zipcode": "85755", "state": "AZ", "service_code": [ "10" ], "additional_information": "Clinical Psychologist (PhD)" }, { "negotiated_type": "negotiated", "negotiated_rate": 193.0, "expiration_date": "2028-12-31", "zipcode": "85755", "state": "AZ", "service_code": [ "11" ], "additional_information": "Clinical Psychologist (PhD)" } ] } ] }, { "negotiation_arrangement": "ffs", "billing_code_type": "CPT", "billing_code_type_version": "2021", "billing_code": "90837", "description": "Individual Follow-Up Session", "negotiated_rates": [ { "provider_groups": [ { "npi": [ 1255874459 ], "tin": { "type": "ein", "value": "47-5645538" } } ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 153.0, "expiration_date": "2028-12-31", "zipcode": "85755", "state": "AZ", "service_code": [ "10" ], "additional_information": "Clinical Psychologist (PhD)" }, { "negotiated_type": "negotiated", "negotiated_rate": 178.0, "expiration_date": "2028-12-31", "zipcode": "85755", "state": "AZ", "service_code": [ "11" ], "additional_information": "Clinical Psychologist (PhD)" }, { "negotiated_type": "negotiated", "negotiated_rate": 178.0, "expiration_date": "2028-12-31", "zipcode": "85755", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Professional Counselor (LPC)" } ] } ] }, { "negotiation_arrangement": "ffs", "billing_code_type": "CPT", "billing_code_type_version": "2021", "billing_code": "90837", "description": "Child Follow Up Session", "negotiated_rates": [ { "provider_groups": [ { "npi": [ 1255874459 ], "tin": { "type": "ein", "value": "47-5645538" } } ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 168.0, "expiration_date": "2028-12-31", "zipcode": "85756", "state": "AZ", "service_code": [ "10" ], "additional_information": "Licensed Professional Counselor (LPC)" }, { "negotiated_type": "negotiated", "negotiated_rate": 188.0, "expiration_date": "2028-12-31", "zipcode": "85756", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Professional Counselor (LPC)" } ] } ] }, { "negotiation_arrangement": "ffs", "billing_code_type": "CPT", "billing_code_type_version": "2021", "billing_code": "90837", "description": "Individual Follow-Up Session", "negotiated_rates": [ { "provider_groups": [ { "npi": [ 1255874459 ], "tin": { "type": "ein", "value": "47-5645538" } } ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 148.0, "expiration_date": "2028-12-31", "zipcode": "85756", "state": "AZ", "service_code": [ "10" ], "additional_information": "Licensed Professional Counselor (LPC)" }, { "negotiated_type": "negotiated", "negotiated_rate": 168.0, "expiration_date": "2028-12-31", "zipcode": "85756", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Professional Counselor (LPC)" } ] } ] }, { "negotiation_arrangement": "ffs", "billing_code_type": "CPT", "billing_code_type_version": "2021", "billing_code": "90837", "description": "Child Follow Up Session", "negotiated_rates": [ { "provider_groups": [ { "npi": [ 1255874459 ], "tin": { "type": "ein", "value": "47-5645538" } } ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 163.0, "expiration_date": "2028-12-31", "zipcode": "85757", "state": "AZ", "service_code": [ "10" ], "additional_information": "Licensed Mental Health Counselor (LMHC)" }, { "negotiated_type": "negotiated", "negotiated_rate": 183.0, "expiration_date": "2028-12-31", "zipcode": "85757", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Mental Health Counselor (LMHC)" } ] } ] }, { "negotiation_arrangement": "ffs", "billing_code_type": "CPT", "billing_code_type_version": "2021", "billing_code": "90837", "description": "Individual Follow-Up Session", "negotiated_rates": [ { "provider_groups": [ { "npi": [ 1255874459 ], "tin": { "type": "ein", "value": "47-5645538" } } ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 148.0, "expiration_date": "2028-12-31", "zipcode": "85757", "state": "AZ", "service_code": [ "10" ], "additional_information": "Licensed Mental Health Counselor (LMHC)" }, { "negotiated_type": "negotiated", "negotiated_rate": 168.0, "expiration_date": "2028-12-31", "zipcode": "85757", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Mental Health Counselor (LMHC)" }, { "negotiated_type": "negotiated", "negotiated_rate": 178.0, "expiration_date": "2028-12-31", "zipcode": "85929", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Professional Counselor (LPC)" }, { "negotiated_type": "negotiated", "negotiated_rate": 178.0, "expiration_date": "2028-12-31", "zipcode": "85940", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Clinical Social Worker (LCSW)" }, { "negotiated_type": "negotiated", "negotiated_rate": 158.0, "expiration_date": "2028-12-31", "zipcode": "86005", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Clinical Social Worker (LCSW)" } ] } ] }, { "negotiation_arrangement": "ffs", "billing_code_type": "CPT", "billing_code_type_version": "2021", "billing_code": "90837", "description": "Child Follow Up Session", "negotiated_rates": [ { "provider_groups": [ { "npi": [ 1255874459 ], "tin": { "type": "ein", "value": "47-5645538" } } ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 148.0, "expiration_date": "2028-12-31", "zipcode": "86047", "state": "AZ", "service_code": [ "10" ], "additional_information": "Licensed Professional Counselor (LPC)" }, { "negotiated_type": "negotiated", "negotiated_rate": 158.0, "expiration_date": "2028-12-31", "zipcode": "86047", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Professional Counselor (LPC)" } ] } ] }, { "negotiation_arrangement": "ffs", "billing_code_type": "CPT", "billing_code_type_version": "2021", "billing_code": "90837", "description": "Individual Follow-Up Session", "negotiated_rates": [ { "provider_groups": [ { "npi": [ 1255874459 ], "tin": { "type": "ein", "value": "47-5645538" } } ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 148.0, "expiration_date": "2028-12-31", "zipcode": "86047", "state": "AZ", "service_code": [ "10" ], "additional_information": "Licensed Professional Counselor (LPC)" }, { "negotiated_type": "negotiated", "negotiated_rate": 158.0, "expiration_date": "2028-12-31", "zipcode": "86047", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Professional Counselor (LPC)" }, { "negotiated_type": "negotiated", "negotiated_rate": 168.0, "expiration_date": "2028-12-31", "zipcode": "86301", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Professional Counselor (LPC)" }, { "negotiated_type": "negotiated", "negotiated_rate": 188.0, "expiration_date": "2028-12-31", "zipcode": "86301", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Professional Counselor (LPC)" }, { "negotiated_type": "negotiated", "negotiated_rate": 183.0, "expiration_date": "2028-12-31", "zipcode": "86303", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Professional Counselor (LPC)" }, { "negotiated_type": "negotiated", "negotiated_rate": 148.0, "expiration_date": "2028-12-31", "zipcode": "86305", "state": "AZ", "service_code": [ "10" ], "additional_information": "Licensed Professional Counselor (LPC)" }, { "negotiated_type": "negotiated", "negotiated_rate": 158.0, "expiration_date": "2028-12-31", "zipcode": "86305", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Professional Counselor (LPC)" }, { "negotiated_type": "negotiated", "negotiated_rate": 178.0, "expiration_date": "2028-12-31", "zipcode": "86305", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Professional Counselor (LPC)" }, { "negotiated_type": "negotiated", "negotiated_rate": 213.0, "expiration_date": "2028-12-31", "zipcode": "86305", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Professional Counselor (LPC)" }, { "negotiated_type": "negotiated", "negotiated_rate": 253.0, "expiration_date": "2028-12-31", "zipcode": "86323", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Marriage and Family Therapist (LMFT)" }, { "negotiated_type": "negotiated", "negotiated_rate": 143.0, "expiration_date": "2028-12-31", "zipcode": "86401", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Professional Counselor (LPC)" }, { "negotiated_type": "negotiated", "negotiated_rate": 208.0, "expiration_date": "2028-12-31", "zipcode": "86403", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Professional Counselor (LPC)" }, { "negotiated_type": "negotiated", "negotiated_rate": 208.0, "expiration_date": "2028-12-31", "zipcode": "86403", "state": "AZ", "service_code": [ "11" ], "additional_information": "LPCC in New Mexico, CPC in Nevada" }, { "negotiated_type": "negotiated", "negotiated_rate": 183.0, "expiration_date": "2028-12-31", "zipcode": "86426", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Clinical Social Worker (LCSW)" }, { "negotiated_type": "negotiated", "negotiated_rate": 148.0, "expiration_date": "2028-12-31", "zipcode": "87048", "state": "NM", "service_code": [ "11" ], "additional_information": "Licensed Clinical Social Worker (LCSW)" }, { "negotiated_type": "negotiated", "negotiated_rate": 153.0, "expiration_date": "2028-12-31", "zipcode": "87106", "state": "NM", "service_code": [ "11" ], "additional_information": "Licensed Clinical Social Worker (LCSW)" }, { "negotiated_type": "negotiated", "negotiated_rate": 133.0, "expiration_date": "2028-12-31", "zipcode": "87106", "state": "NM", "service_code": [ "11" ], "additional_information": "Licensed Professional Counselor (LPC)" } ] } ] }, { "negotiation_arrangement": "ffs", "billing_code_type": "CPT", "billing_code_type_version": "2021", "billing_code": "90837", "description": "Child Follow Up Session", "negotiated_rates": [ { "provider_groups": [ { "npi": [ 1255874459 ], "tin": { "type": "ein", "value": "47-5645538" } } ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 158.0, "expiration_date": "2028-12-31", "zipcode": "87107", "state": "NM", "service_code": [ "10" ], "additional_information": "Licensed Professional Counselor (LPC)" }, { "negotiated_type": "negotiated", "negotiated_rate": 183.0, "expiration_date": "2028-12-31", "zipcode": "87107", "state": "NM", "service_code": [ "11" ], "additional_information": "Licensed Professional Counselor (LPC)" } ] } ] }, { "negotiation_arrangement": "ffs", "billing_code_type": "CPT", "billing_code_type_version": "2021", "billing_code": "90837", "description": "Individual Follow-Up Session", "negotiated_rates": [ { "provider_groups": [ { "npi": [ 1255874459 ], "tin": { "type": "ein", "value": "47-5645538" } } ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 188.0, "expiration_date": "2028-12-31", "zipcode": "87107", "state": "NM", "service_code": [ "11" ], "additional_information": "Licensed Clinical Social Worker (LCSW)" }, { "negotiated_type": "negotiated", "negotiated_rate": 143.0, "expiration_date": "2028-12-31", "zipcode": "87107", "state": "NM", "service_code": [ "10" ], "additional_information": "Licensed Professional Counselor (LPC)" }, { "negotiated_type": "negotiated", "negotiated_rate": 168.0, "expiration_date": "2028-12-31", "zipcode": "87107", "state": "NM", "service_code": [ "11" ], "additional_information": "Licensed Professional Counselor 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"service_code": [ "11" ], "additional_information": "Clinical Psychologist (PhD/PsyD)" }, { "negotiated_type": "negotiated", "negotiated_rate": 158.0, "expiration_date": "2028-12-31", "zipcode": "85225", "state": "AZ", "service_code": [ "11" ], "additional_information": "LCPC" }, { "negotiated_type": "negotiated", "negotiated_rate": 163.0, "expiration_date": "2028-12-31", "zipcode": "85225", "state": "AZ", "service_code": [ "10" ], "additional_information": "Licensed Clinical Social Worker (LCSW)" }, { "negotiated_type": "negotiated", "negotiated_rate": 183.0, "expiration_date": "2028-12-31", "zipcode": "85225", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Clinical Social Worker (LCSW)" }, { "negotiated_type": "negotiated", "negotiated_rate": 158.0, "expiration_date": "2028-12-31", "zipcode": "85225", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Marriage and Family Therapist (LMFT)" }, { "negotiated_type": "negotiated", "negotiated_rate": 158.0, "expiration_date": "2028-12-31", "zipcode": "85225", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Professional Counselor (LPC)" }, { "negotiated_type": "negotiated", "negotiated_rate": 198.0, "expiration_date": "2028-12-31", "zipcode": "85225", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Professional Counselor (LPC)" }, { "negotiated_type": "negotiated", "negotiated_rate": 218.0, "expiration_date": "2028-12-31", "zipcode": "85225", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Professional Counselor (LPC)" }, { "negotiated_type": "negotiated", "negotiated_rate": 198.0, "expiration_date": "2028-12-31", "zipcode": "85225", "state": "AZ", "service_code": [ "11" ], "additional_information": "MS, LPC-S, CIMHP, CIMNTT, CCATP, CTMH" } ] } ] }, { "negotiation_arrangement": "ffs", "billing_code_type": "CPT", "billing_code_type_version": "2021", "billing_code": "90847", 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Follow-Up Session", "negotiated_rates": [ { "provider_groups": [ { "npi": [ 1255874459 ], "tin": { "type": "ein", "value": "47-5645538" } } ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 158.0, "expiration_date": "2028-12-31", "zipcode": "85226", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Professional Counselor (LPC)" } ] } ] }, { "negotiation_arrangement": "ffs", "billing_code_type": "CPT", "billing_code_type_version": "2021", "billing_code": "90847", "description": "Family Follow-up Session", "negotiated_rates": [ { "provider_groups": [ { "npi": [ 1255874459 ], "tin": { "type": "ein", "value": "47-5645538" } } ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 158.0, "expiration_date": "2028-12-31", "zipcode": "85226", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Professional Counselor (LPC)" }, { "negotiated_type": "negotiated", "negotiated_rate": 203.0, "expiration_date": "2028-12-31", "zipcode": "85233", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Marriage and Family Therapist (LMFT)" } ] } ] }, { "negotiation_arrangement": "ffs", "billing_code_type": "CPT", "billing_code_type_version": "2021", "billing_code": "90847", "description": "Couples Follow-Up Session", "negotiated_rates": [ { "provider_groups": [ { "npi": [ 1255874459 ], "tin": { "type": "ein", "value": "47-5645538" } } ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 178.0, "expiration_date": "2028-12-31", "zipcode": "85234", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Professional Counselor (LPC)" }, { "negotiated_type": "negotiated", "negotiated_rate": 183.0, "expiration_date": "2028-12-31", "zipcode": "85234", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Professional Counselor (LPC)" } ] } ] }, { "negotiation_arrangement": "ffs", "billing_code_type": "CPT", "billing_code_type_version": "2021", "billing_code": "90847", "description": "Family Follow-up Session", "negotiated_rates": [ { "provider_groups": [ { "npi": [ 1255874459 ], "tin": { "type": "ein", "value": "47-5645538" } } ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 183.0, "expiration_date": "2028-12-31", "zipcode": "85234", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Professional Counselor (LPC)" } ] } ] }, { "negotiation_arrangement": "ffs", "billing_code_type": "CPT", "billing_code_type_version": "2021", "billing_code": "90847", "description": "Couples Follow-Up Session", "negotiated_rates": [ { "provider_groups": [ { "npi": [ 1255874459 ], "tin": { "type": "ein", "value": "47-5645538" } } ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 193.0, "expiration_date": "2028-12-31", "zipcode": "85236", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Professional Counselor (LPC)" }, { "negotiated_type": "negotiated", "negotiated_rate": 228.0, "expiration_date": "2028-12-31", "zipcode": "85244", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Marriage and Family Therapist (LMFT)" }, { "negotiated_type": "negotiated", "negotiated_rate": 208.0, "expiration_date": "2028-12-31", "zipcode": "85248", "state": "AZ", "service_code": [ "11" ], "additional_information": "LCSW in state of AZ and WA" }, { "negotiated_type": "negotiated", "negotiated_rate": 208.0, "expiration_date": "2028-12-31", "zipcode": "85248", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Clinical Social Worker (LCSW)" }, { "negotiated_type": "negotiated", "negotiated_rate": 203.0, "expiration_date": "2028-12-31", "zipcode": "85248", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Marriage and Family Therapist (LMFT)" }, { "negotiated_type": "negotiated", "negotiated_rate": 198.0, "expiration_date": "2028-12-31", "zipcode": "85248", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Professional Counselor (LPC);Licensed Mental Health Counselor (LMHC)" } ] } ] }, { "negotiation_arrangement": "ffs", "billing_code_type": "CPT", "billing_code_type_version": "2021", "billing_code": "90847", "description": "Family Follow-up Session", "negotiated_rates": [ { "provider_groups": [ { "npi": [ 1255874459 ], "tin": { "type": "ein", "value": "47-5645538" } } ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 198.0, "expiration_date": "2028-12-31", "zipcode": "85248", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Clinical Social Worker (LCSW)" }, { "negotiated_type": "negotiated", "negotiated_rate": 203.0, "expiration_date": "2028-12-31", "zipcode": "85248", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Marriage and Family Therapist (LMFT)" }, { "negotiated_type": "negotiated", "negotiated_rate": 198.0, "expiration_date": "2028-12-31", "zipcode": "85248", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Professional Counselor (LPC);Licensed Mental Health Counselor (LMHC)" } ] } ] }, { "negotiation_arrangement": "ffs", "billing_code_type": "CPT", "billing_code_type_version": "2021", "billing_code": "90847", "description": "Couples Follow-Up Session", "negotiated_rates": [ { "provider_groups": [ { "npi": [ 1255874459 ], "tin": { "type": "ein", "value": "47-5645538" } } ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 158.0, "expiration_date": "2028-12-31", "zipcode": "85249", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Clinical Social Worker (LCSW)" } ] } ] }, { "negotiation_arrangement": "ffs", "billing_code_type": "CPT", "billing_code_type_version": "2021", "billing_code": "90847", "description": "Family Follow-up Session", "negotiated_rates": [ { "provider_groups": [ { "npi": [ 1255874459 ], "tin": { "type": "ein", "value": "47-5645538" } } ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 158.0, "expiration_date": "2028-12-31", "zipcode": "85249", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Clinical Social Worker (LCSW)" } ] } ] }, { "negotiation_arrangement": "ffs", "billing_code_type": "CPT", "billing_code_type_version": "2021", "billing_code": "90847", "description": "Couples Follow-Up Session", "negotiated_rates": [ { "provider_groups": [ { "npi": [ 1255874459 ], "tin": { "type": "ein", "value": "47-5645538" } } ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 218.0, "expiration_date": "2028-12-31", "zipcode": "85250", "state": "AZ", "service_code": [ "11" ], "additional_information": "Clinical Psychologist (PhD/PsyD)" }, { "negotiated_type": "negotiated", "negotiated_rate": 148.0, 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"billing_code_type": "CPT", "billing_code_type_version": "2021", "billing_code": "90847", "description": "Family Follow-up Session", "negotiated_rates": [ { "provider_groups": [ { "npi": [ 1255874459 ], "tin": { "type": "ein", "value": "47-5645538" } } ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 178.0, "expiration_date": "2028-12-31", "zipcode": "85251", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Clinical Social Worker (LCSW)" } ] } ] }, { "negotiation_arrangement": "ffs", "billing_code_type": "CPT", "billing_code_type_version": "2021", "billing_code": "90847", "description": "Couples Follow-Up Session", "negotiated_rates": [ { "provider_groups": [ { "npi": [ 1255874459 ], "tin": { "type": "ein", "value": "47-5645538" } } ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 238.0, "expiration_date": "2028-12-31", "zipcode": "85254", "state": "AZ", "service_code": [ "11" ], "additional_information": "Clinical Psychologist (PhD/PsyD)" }, { "negotiated_type": "negotiated", "negotiated_rate": 148.0, "expiration_date": "2028-12-31", "zipcode": "85254", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Clinical Social Worker (LCSW)" }, { "negotiated_type": "negotiated", "negotiated_rate": 203.0, "expiration_date": "2028-12-31", "zipcode": "85254", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Professional Counselor (LPC)" } ] } ] }, { "negotiation_arrangement": "ffs", "billing_code_type": "CPT", "billing_code_type_version": "2021", "billing_code": "90847", "description": "Family Follow-up Session", "negotiated_rates": [ { "provider_groups": [ { "npi": [ 1255874459 ], "tin": { "type": "ein", "value": "47-5645538" } } ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 178.0, "expiration_date": "2028-12-31", "zipcode": "85254", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Clinical Social Worker (LCSW)" }, { "negotiated_type": "negotiated", "negotiated_rate": 178.0, "expiration_date": "2028-12-31", "zipcode": "85254", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Professional Counselor (LPC)" } ] } ] }, { "negotiation_arrangement": "ffs", "billing_code_type": "CPT", "billing_code_type_version": "2021", "billing_code": "90847", "description": "Couples Follow-Up Session", "negotiated_rates": [ { "provider_groups": [ { "npi": [ 1255874459 ], "tin": { "type": "ein", "value": "47-5645538" } } ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 163.0, "expiration_date": "2028-12-31", "zipcode": "85255", "state": "AZ", "service_code": [ "10" ], "additional_information": "Licensed Clinical Social Worker (LCSW)" }, { "negotiated_type": "negotiated", "negotiated_rate": 193.0, "expiration_date": "2028-12-31", "zipcode": "85255", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Clinical Social Worker (LCSW)" }, { "negotiated_type": "negotiated", "negotiated_rate": 178.0, "expiration_date": "2028-12-31", "zipcode": "85257", "state": "AZ", "service_code": [ "11" ], "additional_information": "Clinical Psychologist (PhD/PsyD)" }, { "negotiated_type": "negotiated", "negotiated_rate": 233.0, "expiration_date": "2028-12-31", "zipcode": "85257", "state": "AZ", "service_code": [ "11" ], "additional_information": "Currently in the process of also obtaining an LPC for Arizona. Already have Colorado state LPC" }, { "negotiated_type": "negotiated", "negotiated_rate": 158.0, "expiration_date": "2028-12-31", "zipcode": "85257", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Clinical Social Worker (LCSW)" }, { "negotiated_type": "negotiated", "negotiated_rate": 233.0, "expiration_date": "2028-12-31", "zipcode": "85257", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Professional Counselor (LPC)" }, { "negotiated_type": "negotiated", "negotiated_rate": 168.0, "expiration_date": "2028-12-31", "zipcode": "85258", "state": "AZ", "service_code": [ "10" ], "additional_information": "Licensed Professional Counselor (LPC)" }, { "negotiated_type": "negotiated", "negotiated_rate": 168.0, "expiration_date": "2028-12-31", "zipcode": "85258", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Professional Counselor (LPC)" }, { "negotiated_type": "negotiated", "negotiated_rate": 183.0, 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"additional_information": "Licensed Professional Counselor (LPC)" }, { "negotiated_type": "negotiated", "negotiated_rate": 178.0, "expiration_date": "2028-12-31", "zipcode": "85260", "state": "AZ", "service_code": [ "11" ], "additional_information": "Licensed Professional Counselor (LPC)" } ] } ] }, { "negotiation_arrangement": "ffs", "billing_code_type": "CPT", "billing_code_type_version": "2021", "billing_code": "90847", "description": "Family Follow-up Session", "negotiated_rates": [ { "provider_groups": [ { "npi": [ 1255874459 ], "tin": { "type": "ein", "value": "47-5645538" } } ], "negotiated_prices": [ { "negotiated_type": "negotiated", "negotiated_rate": 163.0, "expiration_date": "2028-12-31", "zipcode": "85260", "state": "AZ", "service_code": [ "10" ], "additional_information": "Licensed Clinical Social Worker (LCSW)" }, { "negotiated_type": "negotiated", "negotiated_rate": 183.0, "expiration_date": "2028-12-31", "zipcode": "85260", "state": "AZ", "service_code": [ "11" ], 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