Organization Active NPI

Castle Wellness Centers

  • Mental Health Counselor
  • Tempe, AZ
National Provider Identifier
1508437443
Registry record updated Jul 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
CASTLE WELLNESS CENTERS
Practice address
4635 S Lakeshore Dr Ste 125
Tempe, AZ 85282-7127
Phone
(480) 243-9343
NPI assigned
Jul 1, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2021

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

Authorized official

Name
Kristin D Jimenez, LMFT
Title
Owner
Phone
(480) 243-9343

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

4635 S Lakeshore Dr Ste 125
Tempe, AZ 85282-7127

Mailing address

1753 E Broadway Rd
Ste. 101 #312
Tempe, AZ 85282
Phone (480) 243-9343

National Provider Directory

National Provider Directory

Locations

4635 S Lakeshore Dr
Ste 125
Tempe, AZ 85282
Phone (480) 243-9343

NPI Registry JSON

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

{
    "created_epoch": "1625097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625097600000",
    "number": "1508437443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1753 E BROADWAY RD",
            "address_2": "STE. 101 #312",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "85282",
            "telephone_number": "480-243-9343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4635 S LAKESHORE DR STE 125",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827127",
            "telephone_number": "480-243-9343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASTLE WELLNESS CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-01",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-243-9343",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "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 Jul 1, 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.