Individual provider Active NPI

Trenton L Tinsley

  • Mental Health Counselor
  • Queen Creek, AZ
National Provider Identifier
1225510274
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC-22715 Issued in AZ
Practice address
22713 S Ellsworth Rd Ste 101
Queen Creek, AZ 85142-7886
Phone
(480) 445-0943
NPI assigned
Sep 5, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC-22715 AZ Primary

Addresses

Primary practice location

22713 S Ellsworth Rd Ste 101
Queen Creek, AZ 85142-7886

Mailing address

22713 S Ellsworth Rd Ste 101
San Tan Valley, AZ 85142-7886
Phone (480) 445-0943

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240216003805 AZ Practitioner - Mental Health Counselor 1052755006 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC-22715AZMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Horizon Health and Wellness, Inc. Current Accepting new patients
Horizon Health and Wellness, Inc. CurrentSince Feb 2, 2024 Accepting new patients
Horizon Health and Wellness, Inc. CurrentSince Feb 2, 2024 Accepting new patients
Horizon Health & Wellness, Inc. Mental Health Past Accepting new patients
Horizon Health and Wellness, Inc. Past Accepting new patients
MPS Healthcare Inc Mental Health PastSince Jun 1, 2021 Accepting new patients
MPS Health Care Mental Health PastSince Oct 1, 2021 Accepting new patients

Locations

625 N Plaza Dr
Apache Junction, AZ 85120
Phone (480) 282-6278

210 E Cottonwood Ln
Casa Grande, AZ 85122
Phone (520) 836-1688

22713 S Ellsworth Rd
Ste 101
San Tan Valley, AZ 85142
Phone (480) 474-5670

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1536105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1225510274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22713 S ELLSWORTH RD STE 101",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851427886",
            "telephone_number": "480-445-0943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22713 S ELLSWORTH RD STE 101",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851427886",
            "telephone_number": "480-445-0943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TINSLEY",
        "first_name": "TRENTON",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-05",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LPC-22715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Queen Creek, AZ

Sources for this page

Verify at the official NPI Registry.