Justin Biske
Individual provider Active NPI Counselor · Mesa, AZ
NPI 1225859366 · NPPES record last updated Oct 22, 2024
Key facts
- NPI
- 1225859366
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- License
- LAC-22458 (AZ)
- Practice address
- 2710 S Santa Rita
Mesa, AZ 85209-7882 - Phone
- (860) 538-5464
- NPI assigned
- Oct 22, 2024
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LAC-22458 | AZ | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anm Health LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | LAC-22458 | AZ | Yes |
Addresses
Primary practice location
2710 S Santa Rita
Mesa, AZ 85209-7882
Mailing address
2710 S Santa Rita
Mesa, AZ 85209-7882
Phone (860) 538-5464
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 22, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.