Active NPI
Elliot Talenfeld
- Professional Counselor
- Gilbert, AZ
National Provider Identifier
1043883895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LAC-13014
- Practice address
- 2200 E Williams Field Rd Ste 200
Gilbert, AZ 85295-0764 - Phone
- (480) 581-5900
- NPI assigned
- Jul 20, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LAC-13014 | AZ | Primary |
Addresses
Primary practice location
2200 E Williams Field Rd Ste 200
Gilbert, AZ 85295-0764
Mailing address
1959 S Power Rd Ste 103-246
Mesa, AZ 85206-3768
Phone (480) 581-5900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LAC-13014 | AZ | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kona Counseling PC | Professional | Current | Accepting new patients |
Locations
2200 E Williams Field Rd
Ste 200
Gilbert, AZ 85295
Phone (480) 452-3399
1959 S Power Rd
Ste 103246
Mesa, AZ 85206
Phone (480) 581-5900
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Professional Counselor
- Gilbert, AZ
- NPI 1518577535
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626739200000",
"number": "1043883895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1959 S POWER RD STE 103-246",
"city": "MESA",
"state": "AZ",
"postal_code": "852063768",
"telephone_number": "480-581-5900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 E WILLIAMS FIELD RD STE 200",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852950764",
"telephone_number": "480-581-5900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TALENFELD",
"first_name": "ELLIOT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-07-20",
"last_updated": "2021-07-20",
"certification_date": "2021-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AZ",
"license": "LAC-13014",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.