Az Life Options Child and Adult Services LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

AZ LIFE OPTIONS CHILD AND ADULT SERVICES LLC

Doing business as

New Beginnings Counseling Service

Practice address

6515 E Main St
Mesa, AZ 85205-9012

Phone

(480) 815-3600

NPI assigned

Jan 17, 2020

Organization subpart

No

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

Authorized official

Name

Tarin Griffin, LMFT

Title

Licensed Medical Therpist

Phone

(858) 531-1564

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• New Beginnings Counseling Service Doing business as

Locations

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

{
    "created_epoch": "1579219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579219200000",
    "number": "1235769282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6515 E MAIN ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852059012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6515 E MAIN ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852059012",
            "telephone_number": "480-815-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZ LIFE OPTIONS CHILD AND ADULT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-17",
        "last_updated": "2020-01-17",
        "certification_date": "2020-01-17",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "TARIN",
        "authorized_official_title_or_position": "LICENSED MEDICAL THERPIST",
        "authorized_official_telephone_number": "858-531-1564",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMFT LICENSE NUMBER",
            "identifier": "15281",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Beginnings Counseling Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.