Active NPI
Sanctuary Therapeutic Services LLC
- Mental Health Counselor
- Sun City, AZ
National Provider Identifier
1053226233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- SANCTUARY THERAPEUTIC SERVICES LLC
- Practice address
- 10546 W. Oakmont Drive
Sun City, AZ 85351 - Phone
- (623) 738-5079
- NPI assigned
- Aug 14, 2026
- 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
- Jody D Moore, LPC
- Title
- Owner
- Phone
- (623) 738-5079
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
10546 W. Oakmont Drive
Sun City, AZ 85351
Mailing address
8877 N 107TH Ave Ste 302
Peoria, AZ 85345-7474
Phone (623) 738-5079
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1786665600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1786665600000",
"number": "1053226233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8877 N 107TH AVE STE 302",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853457474",
"telephone_number": "623-738-5079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10546 W. OAKMONT DRIVE",
"city": "SUN CITY",
"state": "AZ",
"postal_code": "85351",
"telephone_number": "623-738-5079"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SANCTUARY THERAPEUTIC SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-14",
"last_updated": "2026-08-14",
"certification_date": "2026-08-06",
"status": "A",
"authorized_official_last_name": "MOORE",
"authorized_official_first_name": "JODY",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "623-738-5079",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sun City, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.