Mountain Ridge Counseling

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

CSLG7595 Issued in AZ

Legal business name

MOUNTAIN RIDGE COUNSELING

Practice address

17505 N 79TH Ave
Suite 213-E
Glendale, AZ 85308-8725

Phone

(623) 695-4704

NPI assigned

Mar 16, 2016

Organization subpart

No

Name

Mr. Ryan Taylor

Title

Owner

Phone

(602) 228-1108

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 16, 2016.

{
    "created_epoch": "1458086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458086400000",
    "number": "1194186312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17505 N 79TH AVE",
            "address_2": "SUITE 213-E",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088725",
            "telephone_number": "623-695-4704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17505 N 79TH AVE",
            "address_2": "SUITE 213-E",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088725",
            "telephone_number": "623-695-4704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN RIDGE COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-16",
        "last_updated": "2016-03-16",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-228-1108",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": "CSLG7595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark L Moss, DDS
• Linda L. Motsch, M.D.
• Thea Marie Motyka
• Sahar Moulaiy
• Mountain Park Health Center
• Mountainside Fitness Acquisitions, LLC
• Junnesh Moushi, FNP
• Moving Mountain Supportive Housing
• Vaughn Anthony Movses, D,C,
• Varuzhan Movsesyan, D.O

• All providers in Glendale, AZ
• Community/Behavioral Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2016; 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.