Active NPI
Grace Wellness Center LLC
- Mental Health Counselor
- Mesa, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- GRACE WELLNESS CENTER LLC
- Practice address
- 3707 E Southern Ave
Mesa, AZ 85206-2569 - Phone
- (702) 937-7789
- NPI assigned
- Oct 29, 2019
- Last updated
- Jun 5, 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
- Johna Dean
- Title
- Owner
- Phone
- (702) 937-7789
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary | ||
| Assisted Living Facility (Mental Illness) | 3104A0625X | |||
| Mental Illness Community Based Residential Treatment Facility | 320800000X |
Addresses
Primary practice location
3707 E Southern Ave
Mesa, AZ 85206-2569
Mailing address
1024 W Owens Ave Ste B
Las Vegas, NV 89106-2520
Phone (702) 937-7789
Other practice location 1
159 W Broadway Ste 200
Salt Lake City, UT 84101-1923
Phone (702) 937-7789
Other practice location 2
1815 E Lake Mead Blvd
North Las Vegas, NV 89030-7187
Phone (725) 204-6732
National Provider Directory
National Provider DirectoryLocations
3600 Cambridge St
Ste 200
Las Vegas, NV 89169
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Mental Health Counselor
- Mesa, AZ
- NPI 1144678681
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572307200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1780617600000",
"number": "1457995813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1024 W OWENS AVE STE B",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891062520",
"telephone_number": "702-937-7789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3707 E SOUTHERN AVE",
"city": "MESA",
"state": "AZ",
"postal_code": "852062569",
"telephone_number": "702-937-7789"
}
],
"practiceLocations": [
{
"address_1": "159 W Broadway Ste 200",
"address_purpose": "LOCATION",
"city": "Salt Lake City",
"state": "UT",
"postal_code": "841011923",
"country_code": "US",
"telephone_number": "702-937-7789",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1815 E Lake Mead Blvd",
"address_purpose": "LOCATION",
"city": "North Las Vegas",
"state": "NV",
"postal_code": "890307187",
"country_code": "US",
"telephone_number": "725-204-6732",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "GRACE WELLNESS CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-10-29",
"last_updated": "2026-06-05",
"certification_date": "2026-06-05",
"status": "A",
"authorized_official_last_name": "DEAN",
"authorized_official_first_name": "JOHNA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "702-937-7789"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "3104A0625X",
"taxonomy_group": "",
"desc": "Assisted Living Facility, Assisted Living, Mental Illness",
"state": null,
"license": null,
"primary": false
},
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": null,
"license": null,
"primary": false
}
],
"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 Jun 5, 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.