NPIMap

Organization Active NPI

Serviam, LLC

  • Mental Health Counselor
  • Queen Creek, AZ
National Provider Identifier
1346028370
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
SERVIAM, LLC
Practice address
22515 E Munoz St
Queen Creek, AZ 85142-9152
Phone
(209) 596-3873
NPI assigned
Sep 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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

Authorized official

Name
Keoni Sablan, LMFTNPI 1154970648
Title
Owner
Phone
(209) 596-3873

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

22515 E Munoz St
Queen Creek, AZ 85142-9152

Mailing address

22515 E Munoz St
Queen Creek, AZ 85142-9152
Phone (209) 596-3873

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": "1695168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695168000000",
    "number": "1346028370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22515 E MUNOZ ST",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851429152",
            "telephone_number": "209-596-3873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22515 E MUNOZ ST",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851429152",
            "telephone_number": "209-596-3873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERVIAM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-20",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A",
        "authorized_official_last_name": "SABLAN",
        "authorized_official_first_name": "KEONI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "209-596-3873",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Queen Creek, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; 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.