Body & Soul Community Counseling Services, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

BODY & SOUL COMMUNITY COUNSELING SERVICES, LLC

Practice address

5060 N 19TH Ave Ste 218
Phoenix, AZ 85015-3212

Phone

(480) 293-4258

NPI assigned

Dec 3, 2019

Last updated

Sep 23, 2020By 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

Dayna AdamsNPI 1174171276

Title

Owner

Phone

(480) 293-4258

Specialties & licenses 3

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

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.

• Dayna Adams

  • Mental Health Counselor
  • Phoenix, AZ
  • NPI 1174171276
  NPD Authorized official

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

{
    "created_epoch": "1575331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600819200000",
    "number": "1598302010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5060 N 19TH AVE STE 218",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850153212",
            "telephone_number": "480-293-4258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5060 N 19TH AVE STE 218",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850153212",
            "telephone_number": "480-293-4258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY & SOUL COMMUNITY COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-03",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "DAYNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-293-4258"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "578538",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "REST",
            "endpointTypeDescription": "RESTful URL",
            "endpoint": "bandsccs.com",
            "affiliation": "N",
            "address_1": "5060 N 19th Ave Ste 218",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850153212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Gayle B Bodner, PA
• Jeffrey Bodner, MD
• Phillip Bodner, CRNA
• Ebenezer Bodude, RN
• Kay Bodude, MSN, BSN, RN
• Body Health Consulting, LLC
• Body Mechanics Medical, PLLC
• Body Mechanics Physical Therapy- High St PLLC
• Body Stabilization Training, Inc.
• Bodysmart Massage & Bodywork LLC (Bodysmart Massage & Bodywork)

• Community/Behavioral Health Agency in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Community/Behavioral Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2020; 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.