Semper Fidelis Behavioral Health & Counseling, LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

SEMPER FIDELIS BEHAVIORAL HEALTH & COUNSELING, LLC

Practice address

3606 E Baseline Rd Unit 288
Phoenix, AZ 85042-9617

Phone

(480) 430-5491

NPI assigned

Apr 16, 2020

Organization subpart

No

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

Authorized official

Name

Nasson Nathan, ADMINISTRATOR

Title

Ceo

Phone

(480) 430-5491

Specialties & licenses 2

Addresses

Electronic endpoints 1

Tax ID family

Semper Fidelis Behavioral Health Counseling LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Semper Fidelis Behavioral Health & Counseling, LLC

  • Mental Health Counselor
  • Phoenix, AZ
  • NPI 1881214195
  NPD tax ID

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

{
    "created_epoch": "1586995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586995200000",
    "number": "1346860657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3606 E BASELINE RD UNIT 288",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850429617",
            "telephone_number": "480-430-5491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3606 E BASELINE RD UNIT 288",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850429617",
            "telephone_number": "480-430-5491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEMPER FIDELIS BEHAVIORAL HEALTH & COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-16",
        "last_updated": "2020-04-16",
        "certification_date": "2020-04-16",
        "status": "A",
        "authorized_official_last_name": "NATHAN",
        "authorized_official_first_name": "NASSON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-430-5491",
        "authorized_official_credential": "ADMINISTRATOR"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Phoenix",
            "affiliation": "N",
            "address_1": "3606 E Baseline Rd Unit 288",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850429617",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jessica Semmann
• William John Semmens, M.D.
• Natalie Jane Semon, PT
• Osha Rose Sempel, LMSW
• Semper Fi Counseling Services, LLC
• Semper Fidelis Behavioral Health & Counseling, LLC
• Semper Fidelis Behavioral Health Care, LLC
• Semper Fidelis Behavioral Health Care, LLC
• Serenity Joy Semper
• Ashkan R Semyary, DMD

• Substance Abuse Rehabilitation Facility in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Substance Abuse Rehabilitation Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2020; 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.