Your Space Therapy

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

YOUR SPACE THERAPY

Practice address

3961 E Chandler Blvd Ste 111-112
Phoenix, AZ 85048-0303

Phone

(480) 442-3354

NPI assigned

Feb 13, 2020

Organization subpart

No

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

Authorized official

Name

Misty L Rooney, LCSWNPI 1689122855

Title

Therapist

Phone

(480) 442-3354

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 1

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

• Misty Lynn Rooney, LCSW

  • Social Worker
  • Phoenix, AZ
  • NPI 1689122855
  NPD Authorized official

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

{
    "created_epoch": "1581552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581552000000",
    "number": "1215560735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3961 E CHANDLER BLVD STE 111-112",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850480303",
            "telephone_number": "480-442-3354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3961 E CHANDLER BLVD STE 111-112",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850480303",
            "telephone_number": "480-442-3354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR SPACE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-13",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A",
        "authorized_official_last_name": "ROONEY",
        "authorized_official_first_name": "MISTY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "480-442-3354",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "referrals@yourspacetherapy.net",
            "affiliation": "N",
            "address_1": "3961 E Chandler Blvd Ste 111-112",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850480303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Your Health Connection, LLC
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• Your Inner Pathways Counseling
• Your Neighborhood Dental Care LLC
• Your Space Counseling Services LLC
• Karl Yousef, M.D.
• Rebecca Yousefzadeh, PHARM.D.
• Miranda L Yousif
• Nancy S Youssef, MD
• Rana Youssef, MD

• Mental Health Counselor in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Mental Health Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2020; 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.