Organization Active NPI

Abstain Counseling Services LLC

  • Clinic/Center
  • Phoenix, AZ
National Provider Identifier
1336890532
Registry record updated Jan 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
ABSTAIN COUNSELING SERVICES LLC
Practice address
8330 N 19TH Ave Apt 3083
Phoenix, AZ 85021-5281
Phone
(239) 745-2517
NPI assigned
Jan 10, 2022
Last updated
Jan 13, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2022

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

Authorized official

Name
Muhammad Naeem
Title
Manager Credentialing
Phone
(720) 446-6888

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X
Mental Health Counselor 101YM0800X

Addresses

Primary practice location

8330 N 19TH Ave Apt 3083
Phoenix, AZ 85021-5281

Mailing address

8330 N 19TH Ave Apt 3083
Phoenix, AZ 85021-5281
Phone (239) 745-2517

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1641772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642032000000",
    "number": "1336890532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8330 N 19TH AVE APT 3083",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850215281",
            "telephone_number": "239-745-2517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8330 N 19TH AVE APT 3083",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850215281",
            "telephone_number": "239-745-2517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABSTAIN COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-10",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A",
        "authorized_official_last_name": "NAEEM",
        "authorized_official_first_name": "MUHAMMAD",
        "authorized_official_title_or_position": "MANAGER CREDENTIALING",
        "authorized_official_telephone_number": "720-446-6888"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 13, 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.