Chris Meshula LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

LPC-15865 Issued in AZ

Legal business name

CHRIS MESHULA LLC

Practice address

90 S Kyrene Rd
Ste 4
Chandler, AZ 85226-4687

Phone

(813) 758-5770

NPI assigned

Feb 4, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Christopher M Meshula, LPC

Title

Licensed Professional Counselor

Phone

(813) 758-5770

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1454544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454544000000",
    "number": "1073971073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 E GENEVA DR",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852823638",
            "telephone_number": "813-758-5770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 S KYRENE RD",
            "address_2": "STE 4",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852264687",
            "telephone_number": "813-758-5770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRIS MESHULA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-04",
        "last_updated": "2016-02-04",
        "status": "A",
        "authorized_official_last_name": "MESHULA",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "813-758-5770",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": "LPC-15865",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LLC",
            "identifier": "L20574931",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Community/Behavioral Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2016; 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.