NPIMap

Organization Active NPI

Destiny'S Door Counseling Services

  • Counselor
  • Tempe, AZ
National Provider Identifier
1487178679
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LPC16312 Issued in AZ
Legal business name
DESTINY'S DOOR COUNSELING SERVICES
Practice address
1631 E Guadalupe Rd Ste 200
Tempe, AZ 85283-3916
Phone
(480) 788-0877
NPI assigned
Jul 28, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2024

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

Authorized official

Name
Sharli Berry, LPCNPI 1871022111
Title
Owner
Phone
(480) 788-0877

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
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X LPC16312 AZ Primary

Addresses

Primary practice location

1631 E Guadalupe Rd Ste 200
Tempe, AZ 85283-3916

Mailing address

PO Box 8061
Phoenix, AZ 85066-8061

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241025003309 AZ Part B Supplier - Clinic/Group Practice 7618400805 Receives reassigned benefits from 1 practitioner
Practice locations: Tempe, AZ

National Provider Directory

National Provider Directory

Locations

2627 N 3rd St
Ste 2036
Phoenix, AZ 85004

1631 E Guadalupe Rd
Ste 102
Tempe, AZ 85283
Phone (480) 788-0877

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1501200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707091200000",
    "number": "1487178679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8061",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850668061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1631 E GUADALUPE RD STE 200",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852833916",
            "telephone_number": "480-788-0877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESTINY'S DOOR COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-28",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "SHARLI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-788-0877",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "AZ",
            "license": "LPC16312",
            "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 Feb 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.