Organization Active NPI

From Within

  • Professional Counselor
  • Phoenix, AZ
National Provider Identifier
1497090518
Registry record updated Nov 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-13096 Issued in AZ
Legal business name
FROM WITHIN
Practice address
99 E Virginia Ave
Ste 170
Phoenix, AZ 85004-1195
Phone
(602) 321-9536
NPI assigned
Nov 29, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2012

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

Authorized official

Name
James KelleherNPI 1700834850
Title
Counselor
Phone
(602) 321-9536

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 CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X LPC-13096 AZ Primary

Addresses

Primary practice location

99 E Virginia Ave
Ste 170
Phoenix, AZ 85004-1195

Mailing address

99 E Virginia Ave
Ste 170
Phoenix, AZ 85004-1195

Other identifiers 1

IdentifierTypeStateIssuer
928418MedicaidAZ

National Provider Directory

National Provider Directory

Locations

99 E Virginia Ave
Ste 170
Phoenix, AZ 85004
Phone (602) 254-0071

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1354147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354147200000",
    "number": "1497090518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 E VIRGINIA AVE",
            "address_2": "STE 170",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850041195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 E VIRGINIA AVE",
            "address_2": "STE 170",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850041195",
            "telephone_number": "602-321-9536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FROM WITHIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-29",
        "last_updated": "2012-11-29",
        "status": "A",
        "authorized_official_last_name": "KELLEHER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "602-321-9536"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-13096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "928418",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2012; 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.