NPIMap

Organization Active NPI

Mending Hearts Family Services, Inc.

  • Community/Behavioral Health Agency
  • Glendale, AZ
National Provider Identifier
1124342993
Registry record updated May 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
LPC - 1003 Issued in AZ
Legal business name
MENDING HEARTS FAMILY SERVICES, INC.
Practice address
17431 N. 71St Dr.
Suite 103
Glendale, AZ 85308
Phone
(602) 633-2246
Fax
(602) 687-7069
NPI assigned
Mar 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2020

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

Authorized official

Name
Ms. Sharon Ann Carl, MA, M. ED., LPCNPI 1053405407
Title
President/Ceo
Phone
(602) 633-2246

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X LPC - 1003 AZ Primary

Addresses

Primary practice location

17431 N. 71St Dr.
Suite 103
Glendale, AZ 85308

Mailing address

17431 N. 71St Dr.
Suite 103
Glendale, AZ 85308
Phone (602) 633-2246

Other identifiers 3

IdentifierTypeStateIssuer
LPC-1003OtherAZLICENSED PROFESSIONAL COUNSELOR
S1642OtherREGISTERED PLAY THERAPY SUPERVISOR
649014OtherAZAHCCCS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1269302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590019200000",
    "number": "1124342993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17431 N. 71ST DR.",
            "address_2": "SUITE 103",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "85308",
            "telephone_number": "602-633-2246",
            "fax_number": "602-687-7069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17431 N. 71ST DR.",
            "address_2": "SUITE 103",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "85308",
            "telephone_number": "602-633-2246",
            "fax_number": "602-687-7069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENDING HEARTS FAMILY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-23",
        "last_updated": "2020-05-21",
        "certification_date": "2020-05-21",
        "status": "A",
        "authorized_official_last_name": "CARL",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "602-633-2246",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA, M. ED., LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": "LPC - 1003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED PROFESSIONAL COUNSELOR",
            "identifier": "LPC-1003",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED PLAY THERAPY SUPERVISOR",
            "identifier": "S1642",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS",
            "identifier": "649014",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2020; 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.