Organization Active NPI

Irenic Therapeutic Services, LLC.

  • Professional Counselor
  • Phoenix, AZ
National Provider Identifier
1386388767
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
IRENIC THERAPEUTIC SERVICES, LLC.
Practice address
4539 N 22ND St.
#4501
Phoenix, AZ 85016
Phone
(877) 207-1144
NPI assigned
Apr 22, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

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

Authorized official

Name
Krystal BurtonNPI 1790313229
Title
Founder Ceo
Phone
(480) 875-1373

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
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

4539 N 22ND St.
#4501
Phoenix, AZ 85016

Mailing address

4747 E Elliot Road
Unit 29 #703
Phoenix, AZ 85044-1629
Phone (877) 207-1144

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@irenictherapeutic.com

National Provider Directory

National Provider Directory

Locations

4747 E Elliot Rd
Ste 29
Phoenix, AZ 85044

4539 N 22nd St
#4501
Phoenix, AZ 85016
Phone (480) 875-1373

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1650585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745452800000",
    "number": "1386388767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4747 E ELLIOT ROAD",
            "address_2": "UNIT 29 #703",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850441629",
            "telephone_number": "877-207-1144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4539 N 22ND ST.",
            "address_2": "#4501",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85016",
            "telephone_number": "877-207-1144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRENIC THERAPEUTIC SERVICES, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-22",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A",
        "authorized_official_last_name": "BURTON",
        "authorized_official_first_name": "KRYSTAL",
        "authorized_official_title_or_position": "FOUNDER CEO",
        "authorized_official_telephone_number": "480-875-1373"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@irenictherapeutic.com",
            "affiliation": "N",
            "address_1": "4539 N 22nd St.",
            "address_2": "#4501",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "85016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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 Apr 24, 2025; 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.