Center for Progressive Therapies LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

CENTER FOR PROGRESSIVE THERAPIES LLC

Practice address

11011 S 48TH St Ste 101
Phoenix, AZ 85044-1787

Phone

(480) 223-8263

Fax

(480) 247-5705

NPI assigned

Feb 13, 2019

Organization subpart

No

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

Authorized official

Name

Mysti Rachelle Rainwater, MA, LPCNPI 1538377932

Title

Owner

Phone

(480) 223-8263

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Mysti Rachelle Rainwater, LPC

  • Professional Counselor
  • Phoenix, AZ
  • NPI 1538377932
  NPD Authorized official

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

{
    "created_epoch": "1550016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550016000000",
    "number": "1144786245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11011 S 48TH ST STE 101",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850441787",
            "telephone_number": "480-223-8263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11011 S 48TH ST STE 101",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850441787",
            "telephone_number": "480-223-8263",
            "fax_number": "480-247-5705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR PROGRESSIVE THERAPIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-13",
        "last_updated": "2019-02-13",
        "status": "A",
        "authorized_official_last_name": "RAINWATER",
        "authorized_official_first_name": "MYSTI",
        "authorized_official_middle_name": "RACHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-223-8263",
        "authorized_official_credential": "MA, LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Phoenix, AZ by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2019; 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.