Refined Mental Health and Wellness PLLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

REFINED MENTAL HEALTH AND WELLNESS PLLC

Practice address

7205 E Southern Ave Ste 103
Mesa, AZ 85209-2791

Phone

(480) 455-7742

Fax

(480) 546-3901

NPI assigned

Apr 11, 2022

Last updated

May 30, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Valerie Wilson, LMT, MA, LPCNPI 1699390856

Title

Owner/Professional Counselor

Phone

(480) 455-7742

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Valerie Lee Wilson, LMT, MA, LPC

  • Professional Counselor
  • Mesa, AZ
  • NPI 1699390856
  Medicare reassignment NPD Authorized official
• Kimberley Dixon, LPC

  • Counselor
  • Mesa, AZ
  • NPI 1770286585
  Medicare reassignment NPD
• Ollie R Fisher, LPC

  • Professional Counselor
  • Mesa, AZ
  • NPI 1649996430
  NPD

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

{
    "created_epoch": "1649635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653868800000",
    "number": "1548902497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2869 W TANNER RANCH RD",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851424724",
            "telephone_number": "480-455-7742",
            "fax_number": "480-546-3901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7205 E SOUTHERN AVE STE 103",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852092791",
            "telephone_number": "480-455-7742",
            "fax_number": "480-546-3901"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2869 W Tanner Ranch Rd",
            "address_purpose": "LOCATION",
            "city": "Queen Creek",
            "state": "AZ",
            "postal_code": "851424724",
            "country_code": "US",
            "telephone_number": "480-455-7742",
            "fax_number": "480-546-3901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "REFINED MENTAL HEALTH AND WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-11",
        "last_updated": "2022-05-30",
        "certification_date": "2022-05-30",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_title_or_position": "OWNER/PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "480-455-7742",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMT, MA, LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Professional Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2022; 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.