Individual provider Active NPI

Phillip Micheal Garrison, LAMFT

  • Mental Health Counselor
  • Mesa, AZ
National Provider Identifier
1265065544
Registry record updated Jun 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LAMFT-10676 Issued in AZ
Practice address
1741 S Clearview Ave Unit 7
Mesa, AZ 85209-4005
Phone
(480) 544-1141
NPI assigned
Feb 14, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LAMFT-10676 AZ Primary

Addresses

Primary practice location

1741 S Clearview Ave Unit 7
Mesa, AZ 85209-4005

Mailing address

1741 S Clearview Ave Unit 37
Mesa, AZ 85209-4008
Phone (480) 270-5609

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LAMFT-10676AZMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1581638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593129600000",
    "number": "1265065544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1741 S CLEARVIEW AVE UNIT 37",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852094008",
            "telephone_number": "480-270-5609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1741 S CLEARVIEW AVE UNIT 7",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852094005",
            "telephone_number": "480-544-1141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRISON",
        "first_name": "PHILLIP",
        "middle_name": "MICHEAL",
        "credential": "LAMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-02-14",
        "last_updated": "2020-06-26",
        "certification_date": "2020-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LAMFT-10676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 26, 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.