NPIMap

Organization Active NPI

FKL Enterprises, LLC

Doing business as reVIBE Mental Health

  • Marriage & Family Therapist
  • Phoenix, AZ
National Provider Identifier
1316796790
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
FKL ENTERPRISES, LLC
Doing business as
reVIBE Mental Health
Practice address
4646 E Greenway Rd Ste 100
Phoenix, AZ 85032-4805
Phone
(480) 674-9220
Fax
(480) 674-9231
NPI assigned
May 16, 2024
Last updated
Feb 18, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
FKL ENTERPRISES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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

Authorized official

Name
Filipe Coelho
Title
Owner
Phone
(480) 674-9221

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X NU Primary
Psychiatry Physician 2084P0800X NU

Addresses

Primary practice location

4646 E Greenway Rd Ste 100
Phoenix, AZ 85032-4805

Mailing address

8700 E Via de Ventura Ste 280
Scottsdale, AZ 85258-4541
Phone (480) 674-9220

Other names 1

  • reVIBE Mental Health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
FKL Enterprises LLC4 organizations share this tax ID, including this one
Part of
FKL Enterprises LLC

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8700 E Via de Ventura
Ste 280
Scottsdale, AZ 85258
Phone (480) 210-7266

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 33

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.

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1715817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739836800000",
    "number": "1316796790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8700 E VIA DE VENTURA STE 280",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584541",
            "telephone_number": "480-674-9220",
            "fax_number": "480-674-9231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4646 E GREENWAY RD STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850324805",
            "telephone_number": "480-674-9220",
            "fax_number": "480-674-9231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FKL ENTERPRISES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FKL ENTERPRISES, LLC",
        "enumeration_date": "2024-05-16",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A",
        "authorized_official_last_name": "COELHO",
        "authorized_official_first_name": "FILIPE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-674-9221"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "reVIBE Mental Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 18, 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.