Active NPI
Anasazi Integrated Health and Wellness
- Community/Behavioral Health Agency
- Mesa, AZ
National Provider Identifier
1437690187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- CSLG8091
- Legal business name
- ANASAZI INTEGRATED HEALTH AND WELLNESS
- Practice address
- 1855 E Southern Ave
Ste 205
Mesa, AZ 85204-5241 - Phone
- (480) 228-1400
- Fax
- (480) 400-1750
- NPI assigned
- Mar 14, 2017
- 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
- Ms. T Allen, LPC
- Title
- Clinical Director
- Phone
- (480) 228-1400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | CSLG8091 | AZ | Primary |
Addresses
Primary practice location
1855 E Southern Ave
Ste 205
Mesa, AZ 85204-5241
Mailing address
745 N Gilbert Rd
124-313
Gilbert, AZ 85234-3375
Phone (480) 228-1400
National Provider Directory
National Provider DirectoryLocations
1855 E Southern Ave
Ste 205
Mesa, AZ 85204
Phone (480) 228-1400
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Gilbert, AZ
- NPI 1114158052
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489449600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1489449600000",
"number": "1437690187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "745 N GILBERT RD",
"address_2": "124-313",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852343375",
"telephone_number": "480-228-1400",
"fax_number": "480-400-1750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1855 E SOUTHERN AVE",
"address_2": "STE 205",
"city": "MESA",
"state": "AZ",
"postal_code": "852045241",
"telephone_number": "480-228-1400",
"fax_number": "480-400-1750"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANASAZI INTEGRATED HEALTH AND WELLNESS",
"organizational_subpart": "NO",
"enumeration_date": "2017-03-14",
"last_updated": "2017-03-14",
"status": "A",
"authorized_official_last_name": "ALLEN",
"authorized_official_first_name": "T",
"authorized_official_title_or_position": "CLINICAL DIRECTOR",
"authorized_official_telephone_number": "480-228-1400",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "AZ",
"license": "CSLG8091",
"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 Mar 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.