Active NPI
Growth Space, PLLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Phoenix, AZ
National Provider Identifier
1457918526
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- GROWTH SPACE, PLLC
- Practice address
- 8601 N Black Canyon Hwy Ste 103Ofc10
Phoenix, AZ 85021-4109 - Phone
- (602) 845-0707
- Fax
- (602) 296-0398
- NPI assigned
- May 23, 2019
- 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
- Kathryn McClearn, LPC
- Title
- Mental Health Counselor/ Clinician
- Phone
- (602) 845-0707
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 Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
8601 N Black Canyon Hwy Ste 103Ofc10
Phoenix, AZ 85021-4109
Mailing address
8601 N Black Canyon Hwy Ste 103Ofc10
Phoenix, AZ 85021-4109
Phone (602) 845-0707
National Provider Directory
National Provider DirectoryLocations
8601 N Black Canyon Hwy
Ste 103
Phoenix, AZ 85021
Phone (602) 628-6636
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
- Phoenix, AZ
- NPI 1336706944
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558569600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1608595200000",
"number": "1457918526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8601 N BLACK CANYON HWY STE 103OFC10",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850214109",
"telephone_number": "602-845-0707",
"fax_number": "602-296-0398"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8601 N BLACK CANYON HWY STE 103OFC10",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850214109",
"telephone_number": "602-845-0707",
"fax_number": "602-296-0398"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GROWTH SPACE, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-05-23",
"last_updated": "2020-12-22",
"certification_date": "2020-12-22",
"status": "A",
"authorized_official_last_name": "MCCLEARN",
"authorized_official_first_name": "KATHRYN",
"authorized_official_title_or_position": "MENTAL HEALTH COUNSELOR/ CLINICIAN",
"authorized_official_telephone_number": "602-845-0707",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
- Grow Professional Counseling Services LLC
- Growing a Bonsai LLC (Growing a Bonsai)
- Growing Expectations Midwifery and Healthcare, PLLC (Growing Expectations)
- Growing Space LLC
- Growth Behavioral Treatment Center LLC
- Chrisine Petrus Grubb, PH.D.
- Gwen Robin Gruber, LCSW
- David Bruce Grubler, DDS
- Louis Grubler, PHARM D
- Rebecca Marie Grudowski
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 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.