Organization Active NPI

Shift Happens Transformative Counseling LLC

  • Professional Counselor
  • Mesa, AZ
National Provider Identifier
1194480228
Registry record updated Nov 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
SHIFT HAPPENS TRANSFORMATIVE COUNSELING LLC
Practice address
1930 S Alma School Rd Ste B212
Mesa, AZ 85210-2104
Phone
(480) 751-9288
Fax
(480) 522-3825
NPI assigned
Nov 3, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2021

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

Authorized official

Name
Mr. Wade M Cordell Jr., LPCNPI 1306389994
Title
Owner/Therapist
Phone
(480) 751-9288

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
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

1930 S Alma School Rd Ste B212
Mesa, AZ 85210-2104

Mailing address

3289 E Aris Dr
Gilbert, AZ 85298-4235
Phone (480) 751-9288

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL noreply@therapyportal.com Direct

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": "1635897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635897600000",
    "number": "1194480228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3289 E ARIS DR",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852984235",
            "telephone_number": "480-751-9288",
            "fax_number": "480-522-3825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 S ALMA SCHOOL RD STE B212",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852102104",
            "telephone_number": "480-751-9288",
            "fax_number": "480-522-3825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIFT HAPPENS TRANSFORMATIVE COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-03",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-01",
        "status": "A",
        "authorized_official_last_name": "CORDELL",
        "authorized_official_first_name": "WADE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "480-751-9288",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "noreply@therapyportal.com",
            "affiliation": "N",
            "endpointDescription": "Therapy Notes",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1930 S Alma School Rd Ste B212",
            "city": "Mesa",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852102104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2021; 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.