Organization Active NPI

Whole Self Healing of Arizona, LLC

  • Mental Health Counselor
  • Tucson, AZ
National Provider Identifier
1659026946
Registry record updated Feb 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
WHOLE SELF HEALING OF ARIZONA, LLC
Practice address
2806 N Alvernon Way Ste 500
Tucson, AZ 85712-1567
Phone
(520) 261-2328
NPI assigned
Feb 16, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2022

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

Authorized official

Name
Ms. Susan Love, LPCNPI 1548727282
Title
Owner/Clinical Supervisor
Phone
(520) 261-2328

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

2806 N Alvernon Way Ste 500
Tucson, AZ 85712-1567

Mailing address

2806 N Alvernon Way Ste 500
Tucson, AZ 85712-1567
Phone (520) 261-2328

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1644969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644969600000",
    "number": "1659026946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2806 N ALVERNON WAY STE 500",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857121567",
            "telephone_number": "520-261-2328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2806 N ALVERNON WAY STE 500",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857121567",
            "telephone_number": "520-261-2328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLE SELF HEALING OF ARIZONA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-16",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-15",
        "status": "A",
        "authorized_official_last_name": "LOVE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER/CLINICAL SUPERVISOR",
        "authorized_official_telephone_number": "520-261-2328",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2022; 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.