Organization Active NPI

Saguaro Springs Healing Center, PLLC

  • Professional Counselor
  • Mesa, AZ
National Provider Identifier
1255969366
Registry record updated Apr 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
SAGUARO SPRINGS HEALING CENTER, PLLC
Practice address
4447 E Broadway Rd Ste 106
Mesa, AZ 85206-2018
Phone
(480) 964-3914
Fax
(480) 300-4128
NPI assigned
Apr 1, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2020

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

Authorized official

Name
Ms. Joann Collins-Walters, LPC, LISAC, CCTP
Title
Owner/Counselor
Phone
(480) 964-3914

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

4447 E Broadway Rd Ste 106
Mesa, AZ 85206-2018

Mailing address

4447 E Broadway Rd Ste 106
Mesa, AZ 85206-2018
Phone (480) 964-3914

Other names 1

  • Saguaro Springs Healing Center, PLLC Doing business as

National Provider Directory

National Provider Directory

Locations

4447 E Broadway Rd
Ste 106
Mesa, AZ 85206
Phone (480) 612-3759

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1585699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585699200000",
    "number": "1255969366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4447 E BROADWAY RD STE 106",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852062018",
            "telephone_number": "480-964-3914",
            "fax_number": "480-300-4128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4447 E BROADWAY RD STE 106",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852062018",
            "telephone_number": "480-964-3914",
            "fax_number": "480-300-4128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGUARO SPRINGS HEALING CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-01",
        "last_updated": "2020-04-01",
        "certification_date": "2020-04-01",
        "status": "A",
        "authorized_official_last_name": "COLLINS-WALTERS",
        "authorized_official_first_name": "JOANN",
        "authorized_official_title_or_position": "OWNER/COUNSELOR",
        "authorized_official_telephone_number": "480-964-3914",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC, LISAC, CCTP"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saguaro Springs Healing Center, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.