Organization Active NPI

The Carpenter's Mission International Ministry Inc

  • Counselor
  • Phoenix, AZ
National Provider Identifier
1205682754
Registry record updated Apr 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
THE CARPENTER'S MISSION INTERNATIONAL MINISTRY INC
Practice address
9005 N 29TH Ave
Phoenix, AZ 85051-3465
Phone
(602) 708-2897
NPI assigned
Apr 25, 2024
Last updated
Apr 25, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2024

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

Authorized official

Name
Patrick Tyrell
Title
Director
Phone
(602) 708-2897

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU Primary

Addresses

Primary practice location

9005 N 29TH Ave
Phoenix, AZ 85051-3465

Mailing address

9005 N 29TH Ave
Phoenix, AZ 85051-3465
Phone (602) 708-2897

Other names 1

  • The Carpenter's Mission International Ministry Inc Other name

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1714003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714003200000",
    "number": "1205682754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9005 N 29TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850513465",
            "telephone_number": "602-708-2897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9005 N 29TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850513465",
            "telephone_number": "602-708-2897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CARPENTER'S MISSION INTERNATIONAL MINISTRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-25",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A",
        "authorized_official_last_name": "TYRELL",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "602-708-2897"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Carpenter's Mission International Ministry Inc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Carpenter's Mission International Ministry Inc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.

Verify at the official NPI Registry.