Home of Grace Counseling Arizona LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

HOME OF GRACE COUNSELING ARIZONA LLC

Practice address

4700 S Mill Ave Ste 5
Tempe, AZ 85282-6736

Phone

(480) 757-7952

NPI assigned

Dec 12, 2023

Last updated

Aug 16, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Teodosio Gutierrez

Title

Director of Outpatient Services

Phone

(480) 757-7952

Specialties & licenses 1

Addresses

Locations

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.

• Suzanne Rae Williams, RN,MSW,RC

  • Mental Health Counselor
  • Spokane, WA
  • NPI 1548299050
  NPD

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

{
    "created_epoch": "1702339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723766400000",
    "number": "1356119101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 S MILL AVE STE 5",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852826736",
            "telephone_number": "480-757-7952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 S MILL AVE STE 5",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852826736",
            "telephone_number": "480-757-7952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME OF GRACE COUNSELING ARIZONA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-12",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A",
        "authorized_official_last_name": "GUTIERREZ",
        "authorized_official_first_name": "TEODOSIO",
        "authorized_official_title_or_position": "DIRECTOR OF OUTPATIENT SERVICES",
        "authorized_official_telephone_number": "480-757-7952"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Holzapfel, PH.D.
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• Judy Honig, CCC-SLP
• Larry Mark Honig, PHD
• Allen Samuel Honigman, DDS, MS

• Mental Health Counselor in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Mental Health Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; 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.