Bodhi Collective, PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

BODHI COLLECTIVE, PLLC

Practice address

4535 S Lakeshore Dr Ste 6
Tempe, AZ 85282-7046

Phone

(480) 528-2069

NPI assigned

Aug 11, 2025

Organization subpart

No

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

Authorized official

Name

Mrs. Anissa May Fox, LPCNPI 1295491561

Title

Owner

Phone

(480) 528-2069

Specialties & licenses 4

Addresses

Locations

Practitioners 1

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

• Anissa May Fox, LPC

  • Mental Health Counselor
  • Tempe, AZ
  • NPI 1295491561

  Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1754870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754870400000",
    "number": "1275418006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4535 S LAKESHORE DR STE 6",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827046",
            "telephone_number": "480-528-2069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4535 S LAKESHORE DR STE 6",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827046",
            "telephone_number": "480-528-2069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODHI COLLECTIVE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-11",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-10",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "ANISSA",
        "authorized_official_middle_name": "MAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-528-2069",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James L Bludworth, PHD
• Sean C Blumhoff, C.C.P.
• Kimberlee Marie Blyden-Taylor, ND
• Magda Bobadilla, RBT
• Dilip K Bobra, M.D.
• Bodisense Integrative Medicine
• Bodywise Chiropractic PLLC
• Bodywise Health PLLC
• Nicole Boeri, C.A.G.S., NCSP
• Clay Charles Boettcher

• All providers in Tempe, AZ
• Mental Health Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2025; 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.