Organization Active NPI

Gold Mettle Recovery, LLC

  • Professional Counselor
  • Surprise, AZ
National Provider Identifier
1124779962
Registry record updated Mar 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
GOLD METTLE RECOVERY, LLC
Practice address
12211 W Bell Rd Ste 106
Surprise, AZ 85378-9655
Phone
(480) 808-5150
Fax
(602) 975-3460
NPI assigned
Jan 13, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2023

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

Authorized official

Name
Michael Goldman
Title
Owner
Phone
(480) 335-2859

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

12211 W Bell Rd Ste 106
Surprise, AZ 85378-9655

Mailing address

12211 W Bell Rd Ste 106
Surprise, AZ 85378-9655
Phone (480) 808-5150

Other names 1

  • Gold Mettle, LLC Other name

National Provider Directory

National Provider Directory

Locations

10820 W Oakmont Dr
Ste 2
Sun City, AZ 85351

12211 W Bell Rd
Ste 106
Surprise, AZ 85378
Phone (480) 808-5051

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": "1642032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678320000000",
    "number": "1124779962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12211 W BELL RD STE 106",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853789655",
            "telephone_number": "480-808-5150",
            "fax_number": "602-975-3460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12211 W BELL RD STE 106",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853789655",
            "telephone_number": "480-808-5150",
            "fax_number": "602-975-3460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLD METTLE RECOVERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-13",
        "last_updated": "2023-03-09",
        "certification_date": "2023-02-28",
        "status": "A",
        "authorized_official_last_name": "GOLDMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-335-2859"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gold Mettle, LLC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Gold Mettle, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Surprise, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2023; 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.