Organization Active NPI

Surprise Counseling

  • Community/Behavioral Health Agency
  • Surprise, AZ
National Provider Identifier
1417775446
Registry record updated Feb 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SURPRISE COUNSELING
Practice address
18789 N Reems Rd Ste 260
Surprise, AZ 85374-8648
Phone
(623) 377-8397
NPI assigned
Sep 30, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2025

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

Authorized official

Name
Jennifer Keiser, LCSWNPI 1861692741
Title
Owner
Phone
(623) 377-8397

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
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

18789 N Reems Rd Ste 260
Surprise, AZ 85374-8648

Mailing address

18527 W Ewers Dr
Surprise, AZ 85374-3917
Phone (623) 377-8397

Other identifiers 1

IdentifierTypeStateIssuer
1861692741OtherAZNPI JENNIFER KEISER

Other names 1

  • Surprise Counseling, LLC Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241125002615 AZ Part B Supplier - Clinic/Group Practice 0143755322 Receives reassigned benefits from 1 practitioner
Practice locations: Surprise, AZ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1727654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739577600000",
    "number": "1417775446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18527 W EWERS DR",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853743917",
            "telephone_number": "623-377-8397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18789 N REEMS RD STE 260",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853748648",
            "telephone_number": "623-377-8397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURPRISE COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-30",
        "last_updated": "2025-02-15",
        "certification_date": "2025-02-15",
        "status": "A",
        "authorized_official_last_name": "KEISER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-377-8397",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI JENNIFER KEISER",
            "identifier": "1861692741",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Surprise Counseling, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Surprise, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2025; 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.