Pushing Trough Community Services

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

PUSHING TROUGH COMMUNITY SERVICES

Practice address

2812 N Norwalk Ste 127
Mesa, AZ 85215-1148

Phone

(702) 279-7503

NPI assigned

Jun 12, 2018

Organization subpart

No

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

Authorized official

Name

Angele Jackson

Title

Owner

Phone

(702) 279-7503

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1528761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528761600000",
    "number": "1255824470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6716 LAVENDER LILLY LN UNIT 1",
            "city": "N LAS VEGAS",
            "state": "NV",
            "postal_code": "890843302",
            "telephone_number": "702-279-7503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2812 N NORWALK STE 127",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852151148",
            "telephone_number": "702-279-7503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUSHING TROUGH COMMUNITY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-12",
        "last_updated": "2018-06-12",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "ANGELE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-279-7503"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2018; 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.