Organization Active NPI

Well Az LLC

  • Professional Counselor
  • Mesa, AZ
National Provider Identifier
1467183483
Registry record updated Jun 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
WELL AZ LLC
Practice address
37 N Hibbert
Mesa, AZ 85201-7421
Phone
(480) 766-8557
NPI assigned
Jun 21, 2022
Last updated
Jun 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2022

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

Authorized official

Name
Brittany JohnsonNPI 1386184059
Title
Partner
Phone
(480) 766-8557

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
Professional Counselor 101YP2500X NU Primary

Addresses

Primary practice location

37 N Hibbert
Mesa, AZ 85201-7421

Mailing address

37 N Hibbert
Mesa, AZ 85201-7421

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL thewellmesa.clientsecure.me

National Provider Directory

National Provider Directory

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": "1655769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655769600000",
    "number": "1467183483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 N HIBBERT",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852017421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 N HIBBERT",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852017421",
            "telephone_number": "480-766-8557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELL AZ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-21",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "480-766-8557"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "thewellmesa.clientsecure.me",
            "affiliation": "N",
            "endpointDescription": "Simple Practice EMR",
            "address_1": "37 N Hibbert",
            "city": "Mesa",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852017421",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 21, 2022; 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.