Organization Active NPI

Alliance Behavioral Health Integrated PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Surprise, AZ
National Provider Identifier
1326852385
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
ALLIANCE BEHAVIORAL HEALTH INTEGRATED PLLC
Practice address
12801 W Bell Rd Ste 141-145
Surprise, AZ 85378-9797
Phone
(623) 401-2882
Fax
(623) 401-2889
NPI assigned
Feb 1, 2025
Last updated
Jun 9, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

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

Authorized official

Name
Hortense Noble, ARNP-PMHNP,BCNPI 1134783954
Title
Member
Phone
(623) 401-2882

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Infusion Therapy Clinic/Center 261QI0500X NU
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU Primary
Primary Care Nurse Practitioner 363LP2300X NU
Pain Medicine Physician 208VP0000X NU

Addresses

Primary practice location

12801 W Bell Rd Ste 141-145
Surprise, AZ 85378-9797

Mailing address

12801 W Bell Rd Ste 141-145
Surprise, AZ 85378-9797
Phone (602) 721-9960

Other identifiers 1

IdentifierTypeStateIssuer
004526MedicaidAZ

Other names 1

  • Alliance Behavioral Health Integrated PLLC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250610001001 AZ Part B Supplier - Clinic/Group Practice 2466962402 Receives reassigned benefits from 1 practitioner
Practice locations: Surprise, AZ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2320412Alliance Behavioral Health Integrated12801 W Bell Rd Ste 141, Surprise, AZ 85378Certificate of waiverMar 17, 2027

National Provider Directory

National Provider Directory

Locations

12801 W Bell Rd
#141145
Surprise, AZ 85378

12801 W Bell Rd
Ste 141145
Surprise, AZ 85378
Phone (623) 401-2882

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1738368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749427200000",
    "number": "1326852385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12801 W BELL RD STE 141-145",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853789797",
            "telephone_number": "602-721-9960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12801 W BELL RD STE 141-145",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853789797",
            "telephone_number": "623-401-2882",
            "fax_number": "623-401-2889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE BEHAVIORAL HEALTH INTEGRATED PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-01",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A",
        "authorized_official_last_name": "NOBLE",
        "authorized_official_first_name": "HORTENSE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "623-401-2882",
        "authorized_official_credential": "ARNP-PMHNP,BC"
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004526",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alliance Behavioral Health Integrated PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Alliance Behavioral Health Integrated PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Surprise, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.