Organization Active NPI

Courageous Minds LLC

  • Clinic/Center
  • Tempe, AZ
National Provider Identifier
1285376574
Registry record updated May 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
COURAGEOUS MINDS LLC
Practice address
2727 W Baseline Rd Ste 18
Tempe, AZ 85283-1069
Phone
(602) 281-6767
NPI assigned
Apr 8, 2022
Last updated
May 6, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2022

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

Authorized official

Name
Denise Jones
Title
Owner
Phone
(702) 354-2269

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

2727 W Baseline Rd Ste 18
Tempe, AZ 85283-1069

Mailing address

2727 W Baseline Rd Ste 18
Tempe, AZ 85283-1069
Phone (602) 281-6767

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL courageousmindsllcarizona@gmail.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

2727 W Baseline Rd
Ste 18
Tempe, AZ 85283
Phone (602) 281-6767

NPI Registry JSON

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

{
    "created_epoch": "1649376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651795200000",
    "number": "1285376574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 W BASELINE RD STE 18",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852831069",
            "telephone_number": "602-281-6767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 W BASELINE RD STE 18",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852831069",
            "telephone_number": "602-281-6767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COURAGEOUS MINDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-08",
        "last_updated": "2022-05-06",
        "certification_date": "2022-05-06",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-354-2269"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "courageousmindsllcarizona@gmail.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Health Information",
            "address_1": "2727 W Baseline Rd Ste 18",
            "city": "Tempe",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852831069",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.

Verify at the official NPI Registry.