Active NPI
Spa Therapy
- Community/Behavioral Health Agency
- Phoenix, AZ
National Provider Identifier
1265177125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- SPA THERAPY
- Practice address
- 1835 E Nancy LN
Phoenix, AZ 85042-4530 - Phone
- (602) 268-0426
- Fax
- (602) 268-0909
- NPI assigned
- May 4, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jamila Zakiya Johnson, MA, LPC, NCC
- Title
- Clinical Director
- Phone
- (602) 268-0426
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | |||
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
1835 E Nancy LN
Phoenix, AZ 85042-4530
Mailing address
1835 E Nancy LN
Phoenix, AZ 85042-4530
Phone (602) 268-0426
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Chandler, AZ
- NPI 1578916037
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651622400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1651622400000",
"number": "1265177125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1835 E NANCY LN",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850424530",
"telephone_number": "602-268-0426",
"fax_number": "602-268-0909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1835 E NANCY LN",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850424530",
"telephone_number": "602-268-0426",
"fax_number": "602-268-0909"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPA THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2022-05-04",
"last_updated": "2022-05-04",
"certification_date": "2022-05-04",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "JAMILA",
"authorized_official_middle_name": "ZAKIYA",
"authorized_official_title_or_position": "CLINICAL DIRECTOR",
"authorized_official_telephone_number": "602-268-0426",
"authorized_official_credential": "MA, LPC, NCC"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral 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 May 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.