Organization Active NPI

Pacific Mental Health Arizona LLC

  • Counselor
  • Tempe, AZ
National Provider Identifier
1467144782
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
PACIFIC MENTAL HEALTH ARIZONA LLC
Practice address
4450 S Rural Rd BLDG E
Tempe, AZ 85282-7037
Phone
(425) 582-2041
Fax
(425) 527-0468
NPI assigned
May 24, 2023
Last updated
Mar 17, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

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

Authorized official

Name
Jeffery J GoffNPI 1497051999
Title
Ceo
Phone
(425) 361-2273

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
Counselor 101Y00000X NU Primary

Addresses

Primary practice location

4450 S Rural Rd BLDG E
Tempe, AZ 85282-7037

Mailing address

5108 196TH St SW Ste 310
Lynnwood, WA 98036-6152
Phone (425) 361-2273

National Provider Directory

National Provider Directory

Locations

4450 S Rural Rd
Bldg E
Tempe, AZ 85282
Phone (425) 582-2041

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.

NPI Registry JSON

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

{
    "created_epoch": "1684886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773705600000",
    "number": "1467144782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5108 196TH ST SW STE 310",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980366152",
            "telephone_number": "425-361-2273",
            "fax_number": "888-641-6642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4450 S RURAL RD BLDG E",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827037",
            "telephone_number": "425-582-2041",
            "fax_number": "425-527-0468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC MENTAL HEALTH ARIZONA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-24",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A",
        "authorized_official_last_name": "GOFF",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "425-361-2273"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.

Verify at the official NPI Registry.