Organization Active NPI

Growing a Bonsai LLC

Doing business as Growing a Bonsai

  • Mental Health Counselor
  • Phoenix, AZ
National Provider Identifier
1366038044
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
GROWING A BONSAI LLC
Doing business as
Growing a Bonsai
Practice address
1934 E Camelback Rd Ste 120-513
Phoenix, AZ 85016-4126
Phone
(480) 213-4463
NPI assigned
Dec 16, 2020
Last updated
Dec 4, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

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

Authorized official

Name
Ryan A Barclay, MC, LPCNPI 1124636030
Title
Owner
Phone
(602) 638-1658

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: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

1934 E Camelback Rd Ste 120-513
Phoenix, AZ 85016-4126

Mailing address

1934 E Camelback Rd # 120-513
Phoenix, AZ 85016-4126
Phone (602) 638-1658

Other identifiers 2

IdentifierTypeStateIssuer
083970MedicaidAZ
1124636030OtherCMS-NPI (RYAN BARCLAY, LPC)

Other names 1

  • Growing a Bonsai Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Ryan@GrowingaBonsai.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250131000194 AZ Part B Supplier - Clinic/Group Practice 5698204956 Receives reassigned benefits from 1 practitioner
Practice locations: Phoenix, AZ

National Provider Directory

National Provider Directory

Locations

1934 E Camelback Rd
#120512
Phoenix, AZ 85016

1934 E Camelback Rd
#120513
Phoenix, AZ 85016
Phone (602) 638-1658

1934 E Camelback Rd
Ste 120513
Phoenix, AZ 85016
Phone (480) 213-4463

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": "1608076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764806400000",
    "number": "1366038044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1934 E CAMELBACK RD # 120-513",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164126",
            "telephone_number": "602-638-1658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1934 E CAMELBACK RD STE 120-513",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164126",
            "telephone_number": "480-213-4463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROWING A BONSAI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-16",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A",
        "authorized_official_last_name": "BARCLAY",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-638-1658",
        "authorized_official_credential": "MC, LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "083970",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CMS-NPI (RYAN BARCLAY, LPC)",
            "identifier": "1124636030",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Ryan@GrowingaBonsai.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "address_1": "1934 E Camelback Rd Ste 120-513",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850164126",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Growing a Bonsai",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Growing a Bonsai",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.