NPIMap

Organization Active NPI

Unshackled Minds Counseling PLLC

  • Community/Behavioral Health Agency
  • Glendale, AZ
National Provider Identifier
1215705579
Registry record updated Dec 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
UNSHACKLED MINDS COUNSELING PLLC
Practice address
13271 W Smoki CT Unit a
Glendale, AZ 85307-3267
Phone
(026) 345-1795
NPI assigned
Dec 18, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2023

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

Authorized official

Name
Mrs. Erica Zonobia Varner-Anderson, LPC, LAMFTNPI 1205596772
Title
Owner/ Clinical Therapist
Phone
(602) 345-1795

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
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

13271 W Smoki CT Unit a
Glendale, AZ 85307-3267

Mailing address

13271 W Smoki CT Unit a
Glendale, AZ 85307-3267
Phone (912) 224-4427

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": "1702857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702857600000",
    "number": "1215705579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13271 W SMOKI CT UNIT A",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853073267",
            "telephone_number": "912-224-4427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13271 W SMOKI CT UNIT A",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853073267",
            "telephone_number": "026-345-1795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNSHACKLED MINDS COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-18",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-16",
        "status": "A",
        "authorized_official_last_name": "VARNER-ANDERSON",
        "authorized_official_first_name": "ERICA",
        "authorized_official_middle_name": "ZONOBIA",
        "authorized_official_title_or_position": "OWNER/ CLINICAL THERAPIST",
        "authorized_official_telephone_number": "602-345-1795",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC, LAMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; 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.