Organization Active NPI

Manifest Joy Life Guidance, PLLC

Doing business as Manifest Joy Counseling

  • Counselor
  • Tucson, AZ
National Provider Identifier
1366222622
Registry record updated Oct 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
MANIFEST JOY LIFE GUIDANCE, PLLC
Doing business as
Manifest Joy Counseling
Practice address
1661 N Swan Rd Ste 112
Tucson, AZ 85712-4051
Phone
(520) 372-2019
NPI assigned
Oct 4, 2023
Last updated
Oct 4, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2023

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

Authorized official

Name
Kimberly Ahmadi, LMFTNPI 1871155333
Title
Owner/Lead Therapist
Phone
(520) 372-2022

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary
Marriage & Family Therapist 106H00000X

Addresses

Primary practice location

1661 N Swan Rd Ste 112
Tucson, AZ 85712-4051

Mailing address

1661 N Swan Rd
Tucson, AZ 85712-4042
Phone (520) 409-3123

Other names 1

  • Manifest Joy Counseling Doing business as

National Provider Directory

National Provider Directory

Locations

1661 N Swan Rd
Tucson, AZ 85712
Phone (520) 885-1033

1661 N Swan Rd
Ste 112
Tucson, AZ 85712
Phone (520) 372-2019

Practitioners & affiliated clinicians

Practitioners 2

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": "1696377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696377600000",
    "number": "1366222622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1661 N SWAN RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857124042",
            "telephone_number": "520-409-3123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1661 N SWAN RD STE 112",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857124051",
            "telephone_number": "520-372-2019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANIFEST JOY LIFE GUIDANCE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-04",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-03",
        "status": "A",
        "authorized_official_last_name": "AHMADI",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OWNER/LEAD THERAPIST",
        "authorized_official_telephone_number": "520-372-2022",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Manifest Joy Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.