The Therapist LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

THE THERAPIST LLC

Doing business as

The Therapist, LLC

Practice address

2550 W Union Hills Dr Ste 350
Phoenix, AZ 85027-5187

Phone

(623) 377-0446

Fax

(602) 610-6064

NPI assigned

May 20, 2022

Last updated

Feb 4, 2023By 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

Jara Dee Bender, LCSWNPI 1184126542

Title

Owner/Clinician

Phone

(602) 878-7718

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• The Therapist, LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

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.

• Jara Dee Bender, MSW, LCSW

  • Clinical Social Worker
  • Phoenix, AZ
  • NPI 1184126542
  Medicare reassignment Care Compare group NPD Authorized official
• Stacey Michelle Gandy, LCSW

  • Clinical Social Worker
  • Phoenix, AZ
  • NPI 1548343445
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1653004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675468800000",
    "number": "1386382232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 S OLD LITCHFIELD RD UNIT 222",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "853404711",
            "telephone_number": "623-377-0446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 W UNION HILLS DR STE 350",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850275187",
            "telephone_number": "623-377-0446",
            "fax_number": "602-610-6064"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "240 S Old Litchfield Rd Unit 222",
            "address_purpose": "LOCATION",
            "city": "Litchfield Park",
            "state": "AZ",
            "postal_code": "853404711",
            "country_code": "US",
            "telephone_number": "623-377-0446",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE THERAPIST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-20",
        "last_updated": "2023-02-04",
        "certification_date": "2022-09-16",
        "status": "A",
        "authorized_official_last_name": "BENDER",
        "authorized_official_first_name": "JARA",
        "authorized_official_middle_name": "DEE",
        "authorized_official_title_or_position": "OWNER/CLINICIAN",
        "authorized_official_telephone_number": "602-878-7718",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "153865",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Therapist, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Therapist, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Behavioral Health Agency in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Community/Behavioral Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2023; 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.