Active NPI
Springboard Counseling Serivces, LLC
- Community/Behavioral Health Agency
- Scottsdale, AZ
National Provider Identifier
1558765420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- MED5851
- Legal business name
- SPRINGBOARD COUNSELING SERIVCES, LLC
- Practice address
- 11624 E Shea Blvd
Scottsdale, AZ 85259-5111 - Phone
- (888) 672-2120
- Fax
- (888) 672-2120
- NPI assigned
- Oct 21, 2014
- Last updated
- Dec 11, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Andrea Stiner
- Title
- Biling Director
- Phone
- (602) 694-9643
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | MED5851 | AZ | Primary |
Addresses
Primary practice location
11624 E Shea Blvd
Scottsdale, AZ 85259-5111
Mailing address
11624 E Shea Blvd
Scottsdale, AZ 85259-5111
Phone (602) 694-9643
National Provider Directory
National Provider Directory- Tax ID family
- Avery's House
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Averys House
- Substance Abuse Rehabilitation Facility
- Fountain Hills, AZ
- NPI 1023754488
-
dba Avery's House
- Psychiatric Residential Treatment Facility
- Mesa, AZ
- NPI 1407727035
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413849600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1765411200000",
"number": "1558765420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11624 E SHEA BLVD",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852595111",
"telephone_number": "602-694-9643",
"fax_number": "888-672-2120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11624 E SHEA BLVD",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852595111",
"telephone_number": "888-672-2120",
"fax_number": "888-672-2120"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPRINGBOARD COUNSELING SERIVCES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-10-21",
"last_updated": "2025-12-11",
"certification_date": "2025-12-11",
"status": "A",
"authorized_official_last_name": "STINER",
"authorized_official_first_name": "ANDREA",
"authorized_official_title_or_position": "BILING DIRECTOR",
"authorized_official_telephone_number": "602-694-9643"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "AZ",
"license": "MED5851",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.