Individual provider Active NPI

Lashonia Shasherah Pennix

  • Community/Behavioral Health Agency
  • Phoenix, AZ
National Provider Identifier
1508436510
Registry record updated Jun 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Practice address
1616 E Indian School Rd Ste 350
Phoenix, AZ 85016-8603
Phone
(480) 840-4351
NPI assigned
Jun 30, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1616 E Indian School Rd Ste 350
Phoenix, AZ 85016-8603

Mailing address

3015 N Scottsdale Rd Unit 4222
Scottsdale, AZ 85251-7262
Phone (480) 840-4351

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bonds of Hope LLC Community/Behavioral Health CurrentSince Jul 4, 2021 Accepting new patients
Hope & Haven Family Services LLC Community/Behavioral Health CurrentSince Jul 4, 2021 Accepting new patients
Invisions Behavioral Health LLC Community/Behavioral Health Current Accepting new patients

Locations

1616 E Indian School Rd
Ste 350
Phoenix, AZ 85016
Phone (480) 840-4351

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1625011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625011200000",
    "number": "1508436510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3015 N SCOTTSDALE RD UNIT 4222",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852517262",
            "telephone_number": "480-840-4351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 E INDIAN SCHOOL RD STE 350",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850168603",
            "telephone_number": "480-840-4351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNIX",
        "first_name": "LASHONIA",
        "middle_name": "SHASHERAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-30",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 30, 2021; 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.