Desert Edge Mentoring Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

BH-3807 Issued in AZ

Legal business name

DESERT EDGE MENTORING SERVICES

Practice address

1950 W Heatherbrae Dr
Ste 10
Phoenix, AZ 85015-5110

Phone

(602) 237-2485

Fax

(602) 274-6531

NPI assigned

Dec 31, 2007

Last updated

Jan 14, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Dennis Gregory

Title

Executive Director

Phone

(602) 237-2485

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Natalie Gregory, LPC

  • Professional Counselor
  • Phoenix, AZ
  • NPI 1417174665
  NPD (past)

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

{
    "created_epoch": "1199059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294963200000",
    "number": "1306021126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1097",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853391097",
            "telephone_number": "602-237-2485",
            "fax_number": "602-274-6531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 W HEATHERBRAE DR",
            "address_2": "STE 10",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850155110",
            "telephone_number": "602-237-2485",
            "fax_number": "602-274-6531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT EDGE MENTORING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-31",
        "last_updated": "2011-01-14",
        "status": "A",
        "authorized_official_last_name": "GREGORY",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "602-237-2485",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": "BH-3807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Desert Dentistry, PLLC (Desert Dentistry)
• Desert Developmental Services, LLC.
• Desert Edge Recovery
• Desert Endocrinology LLC
• Desert Eye Specialists LTD
• Desert Faith Therapy Services, LLC
• Desert Foot & Ankle P C

• Community/Behavioral Health Agency in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Community/Behavioral Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2011; 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.