Desert Magnolia Therapeutic Services

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

DESERT MAGNOLIA THERAPEUTIC SERVICES

Practice address

16165 N 83Rd Ave
200
Peoria, AZ 85382-4227

Phone

(602) 284-4421

NPI assigned

Sep 11, 2023

Organization subpart

No

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

Authorized official

Name

Evette Mei, LCSWNPI 1518334366

Title

President

Phone

(602) 284-4421

Specialties & licenses 2

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Evette Mei

  • Clinical Social Worker
  • Peoria, AZ
  • NPI 1518334366
  NPD Authorized official
• Lisa Soto, LAC

  • Professional Counselor
  • Peoria, AZ
  • NPI 1033948302
  NPD (past)

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

{
    "created_epoch": "1694390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733702400000",
    "number": "1073390589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16165 N 83RD AVE STE 200",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853825816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16165 N 83RD AVE",
            "address_2": "200",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853824227",
            "telephone_number": "602-284-4421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT MAGNOLIA THERAPEUTIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-11",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A",
        "authorized_official_last_name": "MEI",
        "authorized_official_first_name": "EVETTE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-284-4421",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1518334366",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Clinical Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; 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.