Organization Active NPI

Loyalty House LLC

  • Mental Health Counselor
  • Phoenix, AZ
National Provider Identifier
1255033684
Registry record updated Mar 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
LOYALTY HOUSE LLC
Practice address
1626 N 7TH St
Phoenix, AZ 85006-2203
Phone
(480) 382-6196
NPI assigned
Mar 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2023

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

Authorized official

Name
Simon George, NP
Title
Clinical Oversite
Phone
(316) 209-7731

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

1626 N 7TH St
Phoenix, AZ 85006-2203

Mailing address

1626 N 7TH St
Phoenix, AZ 85006-2203
Phone (480) 382-6196

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1679270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679270400000",
    "number": "1255033684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1626 N 7TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062203",
            "telephone_number": "480-382-6196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1626 N 7TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062203",
            "telephone_number": "480-382-6196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOYALTY HOUSE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-20",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A",
        "authorized_official_last_name": "GEORGE",
        "authorized_official_first_name": "SIMON",
        "authorized_official_title_or_position": "CLINICAL OVERSITE",
        "authorized_official_telephone_number": "316-209-7731",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.