Inclusive Mental Wellness LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

INCLUSIVE MENTAL WELLNESS LLC

Practice address

4509 W Hasan Dr
Laveen, AZ 85339-1960

Phone

(480) 532-8214

NPI assigned

Aug 17, 2026

Last updated

Aug 17, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Vickey Lynn Simmons-Hart, LPC-SNPI 1942967260

Title

Owner/Operator

Phone

(480) 532-8214

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, and the practitioner matching its NPPES authorized official.

• Vickey Lynn Simmons-Hart

  • Professional Counselor
  • Laveen, AZ
  • NPI 1942967260
  NPD (past) Authorized official

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

{
    "created_epoch": "1786924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786924800000",
    "number": "1164337978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1628 E SOUTHERN AVE STE 9697",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852825782",
            "telephone_number": "480-743-5711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4509 W HASAN DR",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853391960",
            "telephone_number": "480-532-8214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INCLUSIVE MENTAL WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-17",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A",
        "authorized_official_last_name": "SIMMONS-HART",
        "authorized_official_first_name": "VICKEY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "480-532-8214",
        "authorized_official_credential": "LPC-S"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Laveen, AZ
• Providers in Laveen, AZ by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; 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.