Organization Active NPI

Jasmine Cresanta DNP Pmhnp BC

Doing business as Empowering Life Psychiatric & Behavioral Health

  • Psychiatric/Mental Health Nurse Practitioner
  • Mesa, AZ
National Provider Identifier
1538917992
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
JASMINE CRESANTA DNP PMHNP BC
Doing business as
Empowering Life Psychiatric & Behavioral Health
Practice address
1930 S Alma School Rd Ste C208
Mesa, AZ 85210-3045
Phone
(480) 454-7136
Fax
(480) 336-3080
NPI assigned
May 10, 2024
Organization subpart
Yes
Parent organization
JASMINE CRESANTA DNP PMHNP BCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 18, 2025

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

Authorized official

Name
Jasmine Cresanta, DNP PMHNPNPI 1386273688
Title
Owner
Phone
(480) 309-2366

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
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

1930 S Alma School Rd Ste C208
Mesa, AZ 85210-3045

Mailing address

1930 S Alma School Rd Ste C208
Mesa, AZ 85210-3045
Phone (480) 454-7136

Other identifiers 1

IdentifierTypeStateIssuer
Z240332MedicaidAZ

Other names 1

  • Empowering Life Psychiatric & Behavioral Health Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address admin@empoweringlifepbh.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240816000652 AZ Part B Supplier - Clinic/Group Practice 4587102983 Receives reassigned benefits from 2 practitioners
Practice locations: Mesa, AZ

National Provider Directory

National Provider Directory
Part of
Jasmine Cresanta DNP Pmhnp BC

Locations

1930 S Alma School Rd
Ste C204
Mesa, AZ 85210
Phone (480) 454-6370

1930 S Alma School Rd
Ste C208
Mesa, AZ 85210
Phone (480) 454-7136

Practitioners & affiliated clinicians

Practitioners 2

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": "1715299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755475200000",
    "number": "1538917992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 S ALMA SCHOOL RD STE C208",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852103045",
            "telephone_number": "480-454-7136",
            "fax_number": "480-336-3080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 S ALMA SCHOOL RD STE C208",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852103045",
            "telephone_number": "480-454-7136",
            "fax_number": "480-336-3080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASMINE CRESANTA DNP PMHNP BC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JASMINE CRESANTA DNP PMHNP BC",
        "enumeration_date": "2024-05-10",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A",
        "authorized_official_last_name": "CRESANTA",
        "authorized_official_first_name": "JASMINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-309-2366",
        "authorized_official_credential": "DNP PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Z240332",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@empoweringlifepbh.com",
            "affiliation": "N",
            "endpointDescription": "secure email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1930 S Alma School Rd Ste C204",
            "city": "Mesa",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852103043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Empowering Life Psychiatric & Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.