Organization Active NPI

Torch Wellness and Consulting LLC

  • Mental Health Counselor
  • Mesa, AZ
National Provider Identifier
1467060350
Registry record updated Jul 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
TORCH WELLNESS AND CONSULTING LLC
Practice address
3707 E Southern Ave Ste 1029
Mesa, AZ 85206-6202
Phone
(480) 359-6190
NPI assigned
Jul 16, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2020

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

Authorized official

Name
Matthew D Rosenkilde, MS, LAC, BHP
Title
Ceo/Founder
Phone
(480) 359-6190

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

3707 E Southern Ave Ste 1029
Mesa, AZ 85206-6202

Mailing address

3707 E Southern Ave Ste 1029
Mesa, AZ 85206-6202
Phone (480) 359-6190

National Provider Directory

National Provider Directory

Locations

3707 E Southern Ave
Ste 1029
Mesa, AZ 85206
Phone (480) 359-6190

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1594857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594857600000",
    "number": "1467060350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3707 E SOUTHERN AVE STE 1029",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852066202",
            "telephone_number": "480-359-6190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3707 E SOUTHERN AVE STE 1029",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852066202",
            "telephone_number": "480-359-6190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TORCH WELLNESS AND CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-16",
        "last_updated": "2020-07-16",
        "certification_date": "2020-07-16",
        "status": "A",
        "authorized_official_last_name": "ROSENKILDE",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO/FOUNDER",
        "authorized_official_telephone_number": "480-359-6190",
        "authorized_official_credential": "MS, LAC, BHP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "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 Jul 16, 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.