Organization Active NPI

Saint Cupertino Counseling LLC

  • Social Worker
  • Gilbert, AZ
National Provider Identifier
1649878422
Registry record updated Oct 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
SAINT CUPERTINO COUNSELING LLC
Practice address
1206 E Warner Rd Ste 220
Gilbert, AZ 85296-3144
Phone
(480) 646-2443
NPI assigned
Oct 13, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2020

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

Authorized official

Name
Hudson J Mota de Alcantara, MENGEE
Title
Manager
Phone
(480) 433-0751

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 104100000X Primary

Addresses

Primary practice location

1206 E Warner Rd Ste 220
Gilbert, AZ 85296-3144

Mailing address

1206 E Warner Rd Ste 220
Gilbert, AZ 85296-3144
Phone (480) 646-2443

National Provider Directory

National Provider Directory

Locations

1206 E Warner Rd
Ste 220
Gilbert, AZ 85296
Phone (480) 382-3404

NPI Registry JSON

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

{
    "created_epoch": "1602547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602547200000",
    "number": "1649878422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 E WARNER RD STE 220",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852963144",
            "telephone_number": "480-646-2443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 E WARNER RD STE 220",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852963144",
            "telephone_number": "480-646-2443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT CUPERTINO COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-13",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A",
        "authorized_official_last_name": "MOTA DE ALCANTARA",
        "authorized_official_first_name": "HUDSON",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "480-433-0751",
        "authorized_official_credential": "MENGEE"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.