NPIMap

Organization Active NPI

Thunderbird Oasis Counseling Inc

  • Clinical Social Worker
  • Peoria, AZ
National Provider Identifier
1457349037
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
NONE Issued in AZ
Legal business name
THUNDERBIRD OASIS COUNSELING INC
Practice address
8253 W Thunderbird Rd
Suite103
Peoria, AZ 85381-4616
Phone
(623) 776-9921
Fax
(623) 776-9921
NPI assigned
Oct 7, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Leslie J Graham, MSW, LCSWNPI 1366439887
Title
President
Phone
(480) 244-6761

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X NONE AZ Primary

Addresses

Primary practice location

8253 W Thunderbird Rd
Suite103
Peoria, AZ 85381-4616

Mailing address

8253 W Thunderbird Rd
Suite103
Peoria, AZ 85381-4616
Phone (623) 776-9921

National Provider Directory

National Provider Directory

Locations

8253 W Thunderbird Rd
Ste 103
Peoria, AZ 85381
Phone (480) 244-6761

Practitioners & affiliated clinicians

Practitioners 3

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": "1128643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457349037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8253 W THUNDERBIRD RD",
            "address_2": "SUITE103",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814616",
            "telephone_number": "623-776-9921",
            "fax_number": "623-776-9921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8253 W THUNDERBIRD RD",
            "address_2": "SUITE103",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814616",
            "telephone_number": "623-776-9921",
            "fax_number": "623-776-9921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THUNDERBIRD OASIS COUNSELING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-244-6761",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "NONE",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.