NPIMap

Organization Active NPI

Teri's Health Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Tucson, AZ
National Provider Identifier
1396493532
Registry record updated Nov 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
TERI'S HEALTH SERVICES
Doing business as
Teri's Health Services
Practice address
40 N Swan Rd Ste 118
Tucson, AZ 85711-3019
Phone
(602) 358-7073
Fax
(888) 927-0409
NPI assigned
Mar 16, 2022
Last updated
Nov 29, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
TERI HOURIHAN COUNSELING, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 29, 2022

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

Authorized official

Name
Penny Swing
Title
Credentialing Account Manager
Phone
(928) 318-3835

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

40 N Swan Rd Ste 118
Tucson, AZ 85711-3019

Mailing address

6635 W Happy Valley Rd Ste A104-621
Glendale, AZ 85310-2609
Phone (602) 358-7073

Other identifiers 2

IdentifierTypeStateIssuer
087398MedicaidAZ
405477MedicaidAZ

Other names 1

  • Teri's Health Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Teri's Health Services LLC6 organizations share this tax ID, including this one
Part of
Teri's Health Services LLC

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

40 N Swan Rd
Ste 25
Tucson, AZ 85711

Practitioners & affiliated clinicians

Practitioners 1

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": "1647388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669680000000",
    "number": "1396493532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6635 W HAPPY VALLEY RD STE A104-621",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853102609",
            "telephone_number": "602-358-7073",
            "fax_number": "888-927-0409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 N SWAN RD STE 118",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857113019",
            "telephone_number": "602-358-7073",
            "fax_number": "888-927-0409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERI'S HEALTH SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TERI HOURIHAN COUNSELING, LLC",
        "enumeration_date": "2022-03-16",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A",
        "authorized_official_last_name": "SWING",
        "authorized_official_first_name": "PENNY",
        "authorized_official_title_or_position": "CREDENTIALING ACCOUNT MANAGER",
        "authorized_official_telephone_number": "928-318-3835"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "087398",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "405477",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Teri's Health Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Teri's Health Services",
            "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 Nov 29, 2022; 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.