Organization Active NPI

Saguaro Integrated Wellness LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mesa, AZ
National Provider Identifier
1639914591
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
SAGUARO INTEGRATED WELLNESS LLC
Practice address
4115 E Valley Auto Dr Ste 208
Mesa, AZ 85206-4612
Phone
(480) 229-8140
NPI assigned
Jul 1, 2024
Last updated
Dec 11, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
WHITE LOTUS THERAPY SERVICES LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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

Authorized official

Name
Katherine Garcia, LPCNPI 1326444324
Title
Owner
Phone
(480) 229-8140

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary
Adult Mental Health Clinic/Center 261QM0850X NU

Addresses

Primary practice location

4115 E Valley Auto Dr Ste 208
Mesa, AZ 85206-4612

Mailing address

4115 E Valley Auto Dr Ste 208
Mesa, AZ 85206-4612
Phone (480) 229-8140

National Provider Directory

National Provider Directory
Part of
White Lotus Therapy Services LLC

Locations

3651 E Baseline Rd
Ste E222
Gilbert, AZ 85234
Phone (480) 432-3567

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1719792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733875200000",
    "number": "1639914591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4115 E VALLEY AUTO DR STE 208",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064612",
            "telephone_number": "480-229-8140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4115 E VALLEY AUTO DR STE 208",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064612",
            "telephone_number": "480-229-8140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGUARO INTEGRATED WELLNESS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WHITE LOTUS THERAPY SERVICES LLC",
        "enumeration_date": "2024-07-01",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-229-8140",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; 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.