Active NPI
Jeremy Gwizdalski
- Counselor
- Mesa, AZ
National Provider Identifier
1427729342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 4115 E Valley Auto Dr
Mesa, AZ 85206-4606 - Phone
- (623) 216-7320
- NPI assigned
- Sep 21, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | AZ | Primary |
Addresses
Primary practice location
4115 E Valley Auto Dr
Mesa, AZ 85206-4606
Mailing address
4115 E Valley Auto Dr
Mesa, AZ 85206-4606
Phone (623) 216-7320
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifeline at Alphaomega | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Professional Counselor
- Chandler, AZ
- NPI 1225404684
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786838400000",
"number": "1427729342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4115 E VALLEY AUTO DR",
"city": "MESA",
"state": "AZ",
"postal_code": "852064606",
"telephone_number": "623-216-7320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4115 E VALLEY AUTO DR",
"city": "MESA",
"state": "AZ",
"postal_code": "852064606",
"telephone_number": "623-216-7320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GWIZDALSKI",
"first_name": "JEREMY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-09-21",
"last_updated": "2026-08-16",
"certification_date": "2026-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "AZ",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.