NPIMap

Organization Active NPI

FKL Enterprises, LLC

Doing business as reVIBE Mental Health

  • Marriage & Family Therapist
  • Scottsdale, AZ
National Provider Identifier
1346982782
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
8700 E Via de Ventura Ste 280
Scottsdale, AZ 85258-4541
Phone
(480) 674-9220
Fax
(480) 674-9231
NPI assigned
Apr 7, 2022
Last updated
Feb 18, 2025By the provider in NPPES
Organization subpart
No

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 TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X Primary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X

Addresses

Primary practice location

8700 E Via de Ventura Ste 280
Scottsdale, AZ 85258-4541

Mailing address

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

Other practice location 1

2222 W Pinnacle Peak Rd Ste 220
Phoenix, AZ 85027-1224
Phone (480) 674-9220

Other practice location 2

3377 S Price Rd Ste 105
Chandler, AZ 85248-3576
Phone (480) 674-9220

Other practice location 3

4646 E Greenway Rd Ste 100
Phoenix, AZ 85032-4805
Phone (480) 674-9220

Other names 1

  • reVIBE Mental Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230103002289 AZ Part B Supplier - Clinic/Group Practice 2961872205 Receives reassigned benefits from 31 practitioners
Practice locations: Chandler, AZ; Phoenix, AZ; Scottsdale, 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
03D2318320FKL Enterprises LLC Dba Revibe Mental Health8700 E Via Ventural Ste 280, Scottsdale, AZ 85258Certificate of waiverFeb 9, 2027

National Provider Directory

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

Other organizations with this tax ID 3

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

Locations

3920 S Rural Rd
Ste 112
Tempe, AZ 85282
Phone (480) 428-2944

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 38

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 38

NPI Registry JSON

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

{
    "created_epoch": "1649289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739836800000",
    "number": "1346982782",
    "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": "8700 E VIA DE VENTURA STE 280",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584541",
            "telephone_number": "480-674-9220",
            "fax_number": "480-674-9231"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2222 W Pinnacle Peak Rd Ste 220",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850271224",
            "country_code": "US",
            "telephone_number": "480-674-9220",
            "fax_number": "480-674-9231",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3377 S Price Rd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852483576",
            "country_code": "US",
            "telephone_number": "480-674-9220",
            "fax_number": "480-674-9231",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4646 E Greenway Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850324805",
            "country_code": "US",
            "telephone_number": "480-674-9220",
            "fax_number": "480-674-9231",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FKL ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-07",
        "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": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "reVIBE Mental Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Scottsdale, 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.
  • 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.