Organization Active NPI

Direct Growth LLC

  • Addiction (Substance Use Disorder) Counselor
  • Mesa, AZ
National Provider Identifier
1013650613
Registry record updated Apr 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
DIRECT GROWTH LLC
Practice address
1533 N Alma School Rd Ste 3
Mesa, AZ 85201-2451
Phone
(888) 492-7822
Fax
(480) 687-8151
NPI assigned
Apr 20, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Tanisha Chapman
Title
Owner
Phone
(949) 312-7412

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X Primary

Addresses

Primary practice location

1533 N Alma School Rd Ste 3
Mesa, AZ 85201-2451

Mailing address

1533 N Alma School Rd Ste 3
Mesa, AZ 85201-2451
Phone (949) 312-7412

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1650412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650412800000",
    "number": "1013650613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1533 N ALMA SCHOOL RD STE 3",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852012451",
            "telephone_number": "949-312-7412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1533 N ALMA SCHOOL RD STE 3",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852012451",
            "telephone_number": "888-492-7822",
            "fax_number": "480-687-8151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIRECT GROWTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-20",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A",
        "authorized_official_last_name": "CHAPMAN",
        "authorized_official_first_name": "TANISHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-312-7412"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.