Organization Active NPI

Regal Counseling PLLC

  • Clinical Social Worker
  • Phoenix, AZ
National Provider Identifier
1134615107
Registry record updated Jul 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
REGAL COUNSELING PLLC
Practice address
2155 W Pinnacle Peak Rd Ste 201
Phoenix, AZ 85027-1203
Phone
(602) 318-1200
NPI assigned
Jul 2, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2018

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

Authorized official

Name
Gerda Phillips, LCSWNPI 1104327568
Title
Owner
Phone
(602) 318-1200

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

2155 W Pinnacle Peak Rd Ste 201
Phoenix, AZ 85027-1203

Mailing address

2155 W Pinnacle Peak Rd Ste 201
Phoenix, AZ 85027-1203
Phone (602) 318-1200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191121001874 AZ Part B Supplier - Clinic/Group Practice 5193066959 Receives reassigned benefits from 1 practitioner
Practice locations: Phoenix, AZ

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": "1530489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530489600000",
    "number": "1134615107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2155 W PINNACLE PEAK RD STE 201",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850271203",
            "telephone_number": "602-318-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2155 W PINNACLE PEAK RD STE 201",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850271203",
            "telephone_number": "602-318-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGAL COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-02",
        "last_updated": "2018-07-02",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "GERDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-318-1200",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.