Phoenix Interfaith Counseling

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

BH2448 Issued in AZ

Legal business name

PHOENIX INTERFAITH COUNSELING

Practice address

4201 N 16TH St Ste 250
Phoenix, AZ 85016-5375

Phone

(602) 532-0777

Fax

(602) 532-0999

NPI assigned

Jul 18, 2007

Last updated

Jul 18, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nancy J Eldridge

Title

Director of Operations

Phone

(602) 532-0777

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Lauren Cook, LCSW

  • Clinical Social Worker
  • Phoenix, AZ
  • NPI 1811083777
  NPD (past)

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

{
    "created_epoch": "1184716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184716800000",
    "number": "1225237340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 W GLENDALE AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850218763",
            "telephone_number": "602-532-0777",
            "fax_number": "602-532-0999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 N 16TH ST STE 250",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850165375",
            "telephone_number": "602-532-0777",
            "fax_number": "602-532-0999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX INTERFAITH COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-18",
        "last_updated": "2007-07-18",
        "status": "A",
        "authorized_official_last_name": "ELDRIDGE",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "602-532-0777"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": "BH2448",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "948458",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Phoenix Infectious Diseases Consultants LLC
• Phoenix Infectious Diseases Consultants, LLC
• Phoenix Infinity Group LLC (Flower of Life Hospice Care)
• Phoenix Institute of Cardiology
• Phoenix Institute of Footcare Physicans, PLC
• Phoenix Internal Medicine Group PLC
• Phoenix Interventional Pain Management, PLLC
• Phoenix Jewish Community Kivel Nursing Home (Kivel Manor Assisted Living Center)
• Phoenix Kidney Specialists PLLC
• Phoenix Lab & Ancillary Services

• Community/Behavioral Health Agency in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Community/Behavioral Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2007; 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.