Organization Active NPI

Trauma Recovery Services of Arizona, PLLC

  • Professional Counselor
  • Goodyear, AZ
National Provider Identifier
1063999860
Registry record updated Jul 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
TRAUMA RECOVERY SERVICES OF ARIZONA, PLLC
Practice address
2990 N Litchfield Rd Ste 7
Goodyear, AZ 85395-7800
Phone
(623) 300-1237
Fax
(623) 335-0404
NPI assigned
Jul 24, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2018

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

Authorized official

Name
Mrs. Jordanna Lavina Saunders, MC LPCNPI 1659679686
Title
Owner/Therapist
Phone
(602) 626-0540

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X AZ
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X AZ Primary

Addresses

Primary practice location

2990 N Litchfield Rd Ste 7
Goodyear, AZ 85395-7800

Mailing address

2990 N Litchfield Rd Ste 7
Goodyear, AZ 85395-7800
Phone (623) 300-1237

National Provider Directory

National Provider Directory

Locations

2990 N Litchfield Rd
Ste 7
Goodyear, AZ 85395
Phone (602) 626-0540

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1532390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532390400000",
    "number": "1063999860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2990 N LITCHFIELD RD STE 7",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853957800",
            "telephone_number": "623-300-1237",
            "fax_number": "623-335-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2990 N LITCHFIELD RD STE 7",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853957800",
            "telephone_number": "623-300-1237",
            "fax_number": "623-335-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAUMA RECOVERY SERVICES OF ARIZONA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-24",
        "last_updated": "2018-07-24",
        "status": "A",
        "authorized_official_last_name": "SAUNDERS",
        "authorized_official_first_name": "JORDANNA",
        "authorized_official_middle_name": "LAVINA",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "602-626-0540",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MC LPC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodyear, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2018; 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.