Desert Center for Conscious Evolution, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

DESERT CENTER FOR CONSCIOUS EVOLUTION, LLC

Practice address

16042 N 32ND St Ste B-13
Phoenix, AZ 85032-3806

Phone

(480) 630-4067

Fax

(480) 204-3121

NPI assigned

Oct 25, 2021

Organization subpart

No

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

Authorized official

Name

Mrs. Chanda Gonzales, LPC LISAC NCCNPI 1831406388

Title

Owner/Therapist

Phone

(480) 630-4067

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chanda Lise Gonzales, LISAC, LPC

  • Professional Counselor
  • Phoenix, AZ
  • NPI 1831406388
  NPD Authorized official

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

{
    "created_epoch": "1635120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639699200000",
    "number": "1548924699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16042 N 32ND ST STE B-13",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850323806",
            "telephone_number": "480-630-4067",
            "fax_number": "480-204-3121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16042 N 32ND ST STE B-13",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850323806",
            "telephone_number": "480-630-4067",
            "fax_number": "480-204-3121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT CENTER FOR CONSCIOUS EVOLUTION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-25",
        "last_updated": "2021-12-17",
        "certification_date": "2021-12-17",
        "status": "A",
        "authorized_official_last_name": "GONZALES",
        "authorized_official_first_name": "CHANDA",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "480-630-4067",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC LISAC NCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Desert Canyon Medical Associates, LLC
• Desert Canyon Pediatrics PC
• Desert Canyon Psychiatry
• Desert Care Behavior LLC
• Desert Center for Allergy and Chest Diseases
• Desert Chiropractic, Inc.
• Desert Clover Psychiatry, LLC
• Desert Cryobank Inc
• Desert Darlings Daycare & Preschool Inc. (Desert Darling Group Homes)
• Desert Dawn Healthcare, Inc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.