Active NPI
Gold Mettle Recovery, LLC
- Professional Counselor
- Surprise, AZ
National Provider Identifier
1124779962
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Professional Counselor
- Peoria, AZ
- NPI 1710350442
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.