Active NPI
Samuel Jacob Vadasz-Chates, LMSW
- Mental Health Counselor
- Tempe, AZ
National Provider Identifier
1134943145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LMSW-15253
- Practice address
- 1250 W Washington St Ste 215
Tempe, AZ 85288-1697 - Phone
- (602) 842-7042
- NPI assigned
- Nov 15, 2024
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LMSW-15253 | AZ | Primary |
Addresses
Primary practice location
1250 W Washington St Ste 215
Tempe, AZ 85288-1697
Mailing address
4617 E Acoma Dr
Phoenix, AZ 85032-4897
Phone (310) 497-2745
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMSW-15253 | AZ | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mindful Therapy Group PC | Mental Health | Current | Accepting new patients |
Locations
1250 W Washington St
Ste 215
Tempe, AZ 85288
Phone (602) 842-7042
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731628800000",
"number": "1134943145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4617 E ACOMA DR",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850324897",
"telephone_number": "310-497-2745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1250 W WASHINGTON ST STE 215",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852881697",
"telephone_number": "602-842-7042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VADASZ-CHATES",
"first_name": "SAMUEL",
"middle_name": "JACOB",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-11-15",
"last_updated": "2024-11-15",
"certification_date": "2024-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AZ",
"license": "LMSW-15253",
"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 Nov 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.