Active NPI
From Within
- Professional Counselor
- Phoenix, AZ
National Provider Identifier
1497090518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC-13096
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James Kelleher
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 928418 | Medicaid | AZ |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Mental Health Counselor
- Phoenix, AZ
- NPI 1700834850
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.