Active NPI
Essential Mind Therapeutic Services PLLC
- Mental Health Counselor
- Phoenix, AZ
National Provider Identifier
1417876350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- ESSENTIAL MIND THERAPEUTIC SERVICES PLLC
- Practice address
- 9920 W Camelback Rd Unit 1076
Phoenix, AZ 85037-5051 - Phone
- (623) 694-9290
- NPI assigned
- Jul 14, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shlisa Marie Evans, LPC
- Title
- Owner
- Phone
- (623) 694-9290
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
9920 W Camelback Rd Unit 1076
Phoenix, AZ 85037-5051
Mailing address
9920 W Camelback Rd Unit 1076
Phoenix, AZ 85037-5051
Phone (623) 694-9290
National Provider Directory
National Provider DirectoryPractitioners & 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": "1783987200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1783987200000",
"number": "1417876350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9920 W CAMELBACK RD UNIT 1076",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850375051",
"telephone_number": "623-694-9290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9920 W CAMELBACK RD UNIT 1076",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850375051",
"telephone_number": "623-694-9290"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ESSENTIAL MIND THERAPEUTIC SERVICES PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-07-14",
"last_updated": "2026-07-14",
"certification_date": "2026-07-14",
"status": "A",
"authorized_official_last_name": "EVANS",
"authorized_official_first_name": "SHLISA",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "623-694-9290",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Jul 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.