Organization Active NPI

Therapy LLC

  • Mental Health Counselor
  • Mesa, AZ
National Provider Identifier
1376165266
Registry record updated May 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
THERAPY LLC
Practice address
1818 E Southern Ave Ste 3a
Mesa, AZ 85204-5247
Phone
(702) 906-8889
NPI assigned
May 13, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2020

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

Authorized official

Name
Courtney Haywood
Title
Owner
Phone
(702) 906-8889

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

1818 E Southern Ave Ste 3a
Mesa, AZ 85204-5247

Mailing address

1818 E Southern Ave Ste 3a
Mesa, AZ 85204-5247
Phone (702) 906-8889

National Provider Directory

National Provider Directory

Locations

1818 E Southern Ave
Ste 3A
Mesa, AZ 85204
Phone (480) 242-5588

NPI Registry JSON

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

{
    "created_epoch": "1589328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589328000000",
    "number": "1376165266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1818 E SOUTHERN AVE STE 3A",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852045247",
            "telephone_number": "702-906-8889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 E SOUTHERN AVE STE 3A",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852045247",
            "telephone_number": "702-906-8889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-13",
        "last_updated": "2020-05-13",
        "certification_date": "2020-05-13",
        "status": "A",
        "authorized_official_last_name": "HAYWOOD",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-906-8889"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.