Estrella Counseling Services

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

ESTRELLA COUNSELING SERVICES

Practice address

250 N Litchfield Rd Ste 150
Goodyear, AZ 85338-1379

Phone

(623) 925-8420

NPI assigned

Apr 22, 2024

Organization subpart

No

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

Authorized official

Name

Kelly C McGuirk, LISAC-11106

Title

Clinical Director

Phone

(480) 797-1328

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1713744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713744000000",
    "number": "1477308559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N LITCHFIELD RD STE 150",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853381379",
            "telephone_number": "623-925-8420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 N LITCHFIELD RD STE 150",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853381379",
            "telephone_number": "623-925-8420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESTRELLA COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-22",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A",
        "authorized_official_last_name": "MCGUIRK",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "480-797-1328",
        "authorized_official_credential": "LISAC-11106"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Estrella Family Medical, LLC.
• Estrella Internal Medicine and Pediatrics
• Estrella Internal Medicine and Pediatrics PC

• Adult Mental Health Clinic/Center in Goodyear, AZ
• Providers in Goodyear, AZ by specialty
• Adult Mental Health Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; 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.