Active NPI
Valley Social Services LLC
- Community/Behavioral Health Agency
- Phoenix, AZ
National Provider Identifier
1043904626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- VALLEY SOCIAL SERVICES LLC
- Practice address
- 12428 N 28TH Dr
Phoenix, AZ 85029-2433 - Phone
- (480) 358-7850
- NPI assigned
- Jun 6, 2023
- Last updated
- Jun 6, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mojok Ajawin
- Title
- Manager (Owner)
- Phone
- (480) 358-7850
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Professional Counselor | 101YP2500X | |||
| Behavior Analyst | 103K00000X | |||
| Assistant Behavior Analyst | 106E00000X | |||
| Community/Behavioral Health Agency | 251S00000X | Primary | ||
| Community Health Clinic/Center | 261QC1500X |
Addresses
Primary practice location
12428 N 28TH Dr
Phoenix, AZ 85029-2433
Mailing address
6035 W Kristal Way
Glendale, AZ 85308-7802
Phone (480) 358-7850
National Provider Directory
National Provider DirectoryLocations
12428 N 28th Dr
Phoenix, AZ 85029
Phone (480) 358-7850
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686009600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1686009600000",
"number": "1043904626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6035 W KRISTAL WAY",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853087802",
"telephone_number": "480-358-7850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12428 N 28TH DR",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850292433",
"telephone_number": "480-358-7850"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VALLEY SOCIAL SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-06",
"last_updated": "2023-06-06",
"certification_date": "2023-06-06",
"status": "A",
"authorized_official_last_name": "AJAWIN",
"authorized_official_first_name": "MOJOK",
"authorized_official_title_or_position": "MANAGER (OWNER)",
"authorized_official_telephone_number": "480-358-7850"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "106E00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Assistant Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QC1500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Community Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
- Valley Primary Care Physicians, LLC (Valley Primary Care Physicians)
- Valley Psychiatry PLLC
- Valley Radiologists LTD
- Valley Rehabilitation Associates, Inc
- Valley Resilient Wellness LLC
- Valley Spring Behavioral Health LLC
- Valley Surgical Center LLC
- Valley Surgical Clinics, LTD
- Valley Surgical Colorectal Specialists LLC
- Valley Travelers Social Exploration Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.