Active NPI
Caliece Gaines
- Professional Counselor
- Tempe, AZ
National Provider Identifier
1104721091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 4801 S Lakeshore Dr Ste 106
Tempe, AZ 85282-7156 - Phone
- (480) 525-0058
- NPI assigned
- Oct 10, 2026
- Last updated
- Oct 10, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | NU | Primary |
Addresses
Primary practice location
4801 S Lakeshore Dr Ste 106
Tempe, AZ 85282-7156
Mailing address
2131 E Broadway Rd Ste 1
Tempe, AZ 85282-1737
Phone (815) 517-4200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1791590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791590400000",
"number": "1104721091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2131 E BROADWAY RD STE 1",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852821737",
"telephone_number": "815-517-4200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4801 S LAKESHORE DR STE 106",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852827156",
"telephone_number": "480-525-0058"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAINES",
"first_name": "CALIECE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-10-10",
"last_updated": "2026-10-10",
"certification_date": "2026-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.