Organization Active NPI

Wholistic Counseling and Wellness Alternatives LLC

  • Counselor
  • Phoenix, AZ
National Provider Identifier
1578734778
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
WHOLISTIC COUNSELING AND WELLNESS ALTERNATIVES LLC
Practice address
10640 N 28TH Dr Ste C101
Phoenix, AZ 85029-2993
Phone
(800) 579-1407
Fax
(877) 217-5895
NPI assigned
Mar 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Christian Faith Nunes
Title
Owner
Phone
(800) 579-1407

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X Primary

Addresses

Primary practice location

10640 N 28TH Dr Ste C101
Phoenix, AZ 85029-2993

Mailing address

10640 N 28TH Dr Ste C101
Phoenix, AZ 85029-2993
Phone (800) 579-1407

Other practice location 1

10640 N 28th Dr # 203
Phoenix, AZ 85029-4527
Phone (800) 579-1407 ext. 2

Other practice location 2

1130 E Missouri Ave
Ste. 550C
Phoenix, AZ 85014-2718
Phone (602) 277-1753

Other identifiers 1

IdentifierTypeStateIssuer
984246MedicaidAZ

National Provider Directory

National Provider Directory

Locations

10640 N 28th Dr
Ste C101
Phoenix, AZ 85029
Phone (602) 435-1974

10640 N 28th Dr
#203
Phoenix, AZ 85029
Phone 8005791407 ext. 2

10640 N 28th Dr
Ste C203
Phoenix, AZ 85029
Phone (602) 435-1974

1130 E Missouri Ave
Ste 550C
Phoenix, AZ 85014
Phone (602) 277-1753

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": "1205452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1578734778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10640 N 28TH DR STE C101",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850292993",
            "telephone_number": "800-579-1407",
            "fax_number": "877-217-5895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10640 N 28TH DR STE C101",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850292993",
            "telephone_number": "800-579-1407",
            "fax_number": "877-217-5895"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10640 N 28th Dr # 203",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850294527",
            "country_code": "US",
            "telephone_number": "800-579-1407 x2",
            "fax_number": "877-217-5895",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1130 E Missouri Ave",
            "address_2": "Ste. 550C",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850142718",
            "country_code": "US",
            "telephone_number": "602-277-1753",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WHOLISTIC COUNSELING AND WELLNESS ALTERNATIVES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-14",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "NUNES",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_middle_name": "FAITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "800-579-1407"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "984246",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.