Organization Active NPI

Healing Hartze, PLLC

Doing business as Healing Hartze

  • Counselor
  • Glendale, AZ
National Provider Identifier
1043982747
Registry record updated Oct 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
HEALING HARTZE, PLLC
Doing business as
Healing Hartze
Practice address
17505 N 79TH Ave Ste 105
Glendale, AZ 85308-8724
Phone
(602) 989-8899
Fax
(602) 900-0969
NPI assigned
Sep 30, 2021
Last updated
Oct 22, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2024

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

Authorized official

Name
January HartzeNPI 1740851542
Title
Ceo/Owner
Phone
(602) 989-8899

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X Primary

Addresses

Primary practice location

17505 N 79TH Ave Ste 105
Glendale, AZ 85308-8724

Mailing address

17505 N 79TH Ave Ste 105
Glendale, AZ 85308-8724
Phone (602) 989-8899

Other practice location 1

23460 N 19th Ave Ste 220
Phoenix, AZ 85027-2170
Phone (602) 989-8899

Other identifiers 23

IdentifierTypeStateIssuer
1164242202OtherAZMATTHEW GORZELANY
1477319762OtherAZJAYDEN DODEN NPI
CSLG13337OtherAZARIZONA DEPARTMENT OF HEALTH SERVICES
1184486821OtherAZCAMERON TOEPFER NPI
1740851542OtherAZJANUARY HARTZE INDIVIDUAL NPI
1750141859OtherAZCAROLINE MELLON
1851153928OtherAZBRENT DOWNEY NPI
1881473544OtherAZREBECCA TESLOW NPI
1154183226OtherAZLYNNETTE CRAMER NPI
125011MedicaidAZ
1831848787OtherAZCELESTE STRONG NPI TYPE 1
1396443156OtherAZSUZIE LOCKWOOD NPI
1740016690OtherAZANNALIT CROSBY
1740048552OtherAZMADELINE LYON NPI
1215799382OtherAZCLAUDIA HOWARD NPI
1639931702OtherAZBRANDY STITH NPI
1750141859OtherAZEMILY REISSEN
1043982747OtherAZHEALING HARTZE PLLC TYPE 2 NPI
1447081534OtherAZBREANN LOPRESTO
1457118572OtherAZSARAH BROWN NPI
CSLG13230OtherAZARIZONA DEPARTMENT OF HEALTH SERVICES
1992549190OtherAZCURTIS WILMER NPI
1104665959OtherAZAMANDA SCOTT

Other names 2

  • Healing Hartze Doing business as
  • Healing Hartze Therapy Services Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240318000556 AZ Part B Supplier - Clinic/Group Practice 9436596137 Receives reassigned benefits from 4 practitioners
Practice locations: Glendale, AZ; Phoenix, AZ

National Provider Directory

National Provider Directory
Tax ID family
Healing Hartze2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

17505 N 79th Ave
Ste 105
Glendale, AZ 85308
Phone (602) 292-4477

6635 W Happy Valley Rd
Ste A104511
Glendale, AZ 85310

17505 N 79th Ave
Ste 305B
Glendale, AZ 85308

23460 N 19th Ave
Ste 220
Phoenix, AZ 85027
Phone (602) 292-1862

Practitioners & affiliated clinicians

Practitioners 29

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1632960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729555200000",
    "number": "1043982747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17505 N 79TH AVE STE 105",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088724",
            "telephone_number": "602-989-8899",
            "fax_number": "602-900-0969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17505 N 79TH AVE STE 105",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088724",
            "telephone_number": "602-989-8899",
            "fax_number": "602-900-0969"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23460 N 19th Ave Ste 220",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850272170",
            "country_code": "US",
            "telephone_number": "602-989-8899",
            "fax_number": "602-900-0969",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HEALING HARTZE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-30",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A",
        "authorized_official_last_name": "HARTZE",
        "authorized_official_first_name": "JANUARY",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "602-989-8899"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MATTHEW GORZELANY",
            "identifier": "1164242202",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JAYDEN DODEN NPI",
            "identifier": "1477319762",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA DEPARTMENT OF HEALTH SERVICES",
            "identifier": "CSLG13337",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAMERON TOEPFER NPI",
            "identifier": "1184486821",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JANUARY HARTZE INDIVIDUAL NPI",
            "identifier": "1740851542",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAROLINE MELLON",
            "identifier": "1750141859",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BRENT DOWNEY NPI",
            "identifier": "1851153928",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REBECCA TESLOW NPI",
            "identifier": "1881473544",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LYNNETTE CRAMER NPI",
            "identifier": "1154183226",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "125011",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CELESTE STRONG NPI TYPE 1",
            "identifier": "1831848787",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUZIE LOCKWOOD NPI",
            "identifier": "1396443156",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANNALIT CROSBY",
            "identifier": "1740016690",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MADELINE LYON NPI",
            "identifier": "1740048552",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLAUDIA HOWARD NPI",
            "identifier": "1215799382",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BRANDY STITH NPI",
            "identifier": "1639931702",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMILY REISSEN",
            "identifier": "1750141859",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALING HARTZE PLLC TYPE 2 NPI",
            "identifier": "1043982747",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BREANN LOPRESTO",
            "identifier": "1447081534",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SARAH BROWN NPI",
            "identifier": "1457118572",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA DEPARTMENT OF HEALTH SERVICES",
            "identifier": "CSLG13230",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CURTIS WILMER NPI",
            "identifier": "1992549190",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMANDA SCOTT",
            "identifier": "1104665959",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healing Hartze",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Healing Hartze Therapy Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.