Organization Active NPI

Faithful Foundation Therapy PLLC

  • Clinical Social Worker
  • Buckeye, AZ
National Provider Identifier
1588577977
Registry record updated Sep 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
FAITHFUL FOUNDATION THERAPY PLLC
Practice address
21097 W Minnezona Ave
Buckeye, AZ 85396-1128
Phone
(480) 442-5171
NPI assigned
Sep 25, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2026

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

Authorized official

Name
Jennifer Jenine Ramos, LCSWNPI 1922359884
Title
Owner
Phone
(917) 681-0524

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

21097 W Minnezona Ave
Buckeye, AZ 85396-1128

Mailing address

21097 W Minnezona Ave
Buckeye, AZ 85396-1128
Phone (480) 442-5171

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1790294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790294400000",
    "number": "1588577977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21097 W MINNEZONA AVE",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853961128",
            "telephone_number": "480-442-5171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21097 W MINNEZONA AVE",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853961128",
            "telephone_number": "480-442-5171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITHFUL FOUNDATION THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-25",
        "last_updated": "2026-09-25",
        "certification_date": "2026-09-25",
        "status": "A",
        "authorized_official_last_name": "RAMOS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "JENINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-681-0524",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buckeye, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.