Superstition Springs Counseling Services of Arizona

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

LCSW-10373 Issued in AZ

Legal business name

SUPERSTITION SPRINGS COUNSELING SERVICES OF ARIZONA

Practice address

7254 E Southern Ave
Suite 123
Mesa, AZ 85209-2786

Phone

(602) 617-6595

Fax

(480) 324-0747

NPI assigned

Jul 15, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Mary Michaelle Hennessey-Peirce, LCSW

Title

Private Practitioner

Phone

(602) 617-6595

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Gary Thomas, PH.D.

  • Clinical Psychologist
  • Mesa, AZ
  • NPI 1083772750

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1279152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290038400000",
    "number": "1386957645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7254 E SOUTHERN AVE",
            "address_2": "SUITE 123",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852092786",
            "telephone_number": "602-617-6595",
            "fax_number": "480-324-0747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7254 E SOUTHERN AVE",
            "address_2": "SUITE 123",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852092786",
            "telephone_number": "602-617-6595",
            "fax_number": "480-324-0747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERSTITION SPRINGS COUNSELING SERVICES OF ARIZONA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-15",
        "last_updated": "2010-11-18",
        "status": "A",
        "authorized_official_last_name": "HENNESSEY-PEIRCE",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "MICHAELLE",
        "authorized_official_title_or_position": "PRIVATE PRACTITIONER",
        "authorized_official_telephone_number": "602-617-6595",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "AZ",
            "license": "LCSW-10373",
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "AZ",
            "license": "LCSW-10373",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sunwest Dental Center
• Emily Sunwoo, DDS
• Superior Sustenance, LLC
• Superstition Dental Group, LLP
• Superstition Family Medicine, LLC
• Superstition Springs Endodontics, LLP
• Superstition Wellness Center PLLC
• Supervised Seniors, LLC
• Supervista North America
• Vera Ellen Suppo, RN

• Adult Mental Health Clinic/Center in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Adult Mental Health Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2010; 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.