NPIMap

Organization Active NPI

Cactus Flower Healing LLC

  • Clinical Social Worker
  • Mesa, AZ
National Provider Identifier
1497379200
Registry record updated Sep 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
CACTUS FLOWER HEALING LLC
Practice address
1220 S Alma School Rd Ste 103
Mesa, AZ 85210-2078
Phone
(480) 382-9460
NPI assigned
Jun 8, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2022

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

Authorized official

Name
Jennifer Vandegriff, LCSWNPI 1821633215
Title
Owner
Phone
(480) 382-9460

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1220 S Alma School Rd Ste 103
Mesa, AZ 85210-2078

Mailing address

1220 S Alma School Rd Ste 103
Mesa, AZ 85210-2078
Phone (480) 382-9460

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cactusflowerhealing.clientsecure.me/

National Provider Directory

National Provider Directory

Locations

1220 S Alma School Rd
Ste 103
Mesa, AZ 85210
Phone (480) 382-9460

Practitioners & affiliated clinicians

Practitioners 6

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": "1591574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662940800000",
    "number": "1497379200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 S ALMA SCHOOL RD STE 103",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852102078",
            "telephone_number": "480-382-9460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 S ALMA SCHOOL RD STE 103",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852102078",
            "telephone_number": "480-382-9460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CACTUS FLOWER HEALING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-08",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A",
        "authorized_official_last_name": "VANDEGRIFF",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-382-9460",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cactusflowerhealing.clientsecure.me/",
            "affiliation": "N",
            "address_1": "1220 S Alma School Rd Ste 103",
            "city": "Mesa",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852102078",
            "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 Sep 12, 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.