Individual provider Active NPI

Lleva Groves, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Maricopa, AZ
National Provider Identifier
1295449627
Registry record updated May 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
285905 Issued in AZ
Practice address
21300 N John Wayne Pkwy Ste 102
Maricopa, AZ 85139-8964
Phone
(480) 306-5151
Fax
(480) 306-4648
NPI assigned
Jan 10, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Nurse Practitioner 363LS0200X RN178422 AZ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 285905 AZ Primary

Addresses

Primary practice location

21300 N John Wayne Pkwy Ste 102
Maricopa, AZ 85139-8964

Mailing address

1915 E Chandler Blvd Ste 1
Chandler, AZ 85225-5117
Phone (480) 306-5151

Other practice location 1

16155 N 83rd Ave Ste 211
Peoria, AZ 85382-5815
Phone (602) 399-5792

Other practice location 2

2400 W Dunlap Ave
Phoenix, AZ 85021-2817
Phone (602) 399-5792

Other practice location 3

1915 E Chandler Blvd Ste 1
Chandler, AZ 85225-5117
Phone (480) 306-5151

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230602001121 AZ Practitioner - Nurse Practitioner 9931566122 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marcann Mental Health Services PLLCGroup PAC ID 0941335350, 13 clinicians

Practice addresses (Care Compare)

4045 E Bell Rd
Suite 139
Phoenix, AZ 85032-2239
Phone (602) 824-9309

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
RN178422AZMDSchool Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Numinus Wellness Ut Inc CurrentSince Jan 4, 2023 Accepting new patients
Regeneration Grove Psychiatry LLC Psychiatric/Mental Health Current Accepting new patients

Locations

16155 N 83rd Ave
Ste 211
Peoria, AZ 85382
Phone (602) 399-5792

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1673308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684972800000",
    "number": "1295449627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1915 E CHANDLER BLVD STE 1",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852255117",
            "telephone_number": "480-306-5151",
            "fax_number": "480-306-4648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21300 N JOHN WAYNE PKWY STE 102",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851398964",
            "telephone_number": "480-306-5151",
            "fax_number": "480-306-4648"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16155 N 83rd Ave Ste 211",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "AZ",
            "postal_code": "853825815",
            "country_code": "US",
            "telephone_number": "602-399-5792",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2400 W Dunlap Ave",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850212817",
            "country_code": "US",
            "telephone_number": "602-399-5792",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1915 E Chandler Blvd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852255117",
            "country_code": "US",
            "telephone_number": "480-306-5151",
            "fax_number": "480-306-4648",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GROVES",
        "first_name": "LLEVA",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-10",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LS0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, School",
            "state": "AZ",
            "license": "RN178422",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "285905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maricopa, AZ

Sources for this page

Verify at the official NPI Registry.