Tri State Therapy

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

TRI STATE THERAPY

Practice address

9976 S Phoenix Dr
Mohave Valley, AZ 86440-9565

Phone

(562) 916-5819

NPI assigned

Sep 25, 2024

Organization subpart

No

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

Authorized official

Name

Heidi Danielle FeyNPI 1821540717

Title

Owner

Phone

(562) 916-5819

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Heidi Fey

  • Clinical Social Worker
  • Mohave Valley, AZ
  • NPI 1821540717
  NPD Authorized official

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

{
    "created_epoch": "1727222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727222400000",
    "number": "1679390108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 E LYNDALE DR",
            "city": "TULARE",
            "state": "CA",
            "postal_code": "932742933",
            "telephone_number": "562-916-5819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9976 S PHOENIX DR",
            "city": "MOHAVE VALLEY",
            "state": "AZ",
            "postal_code": "864409565",
            "telephone_number": "562-916-5819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI STATE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-25",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A",
        "authorized_official_last_name": "FEY",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_middle_name": "DANIELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-916-5819"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul T Sutera, M.D.
• Gerald Thomas Szymanski, M.A., LPC, LISAC
• Terra Medical Inc
• Michael Steven Thompson, B.S, LL.B, M.A.
• Deborah L Todd, OTR,L
• Tri-State Community Healthcare Center
• Monique Renne Williams, MSN, APRN, FNP-C
• Willow Valley Medical Center PC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Mohave Valley, AZ
• Providers in Mohave Valley, AZ by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.