NPIMap

Organization Active NPI

Arizona Interfaith Counseling

  • Professional Counselor
  • Mesa, AZ
National Provider Identifier
1699884395
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
NONE Issued in AZ
Legal business name
ARIZONA INTERFAITH COUNSELING
Practice address
5520 E Main St
Suite #1
Mesa, AZ 85205-8793
Phone
(480) 969-2783
Fax
(480) 969-3521
NPI assigned
Aug 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Gary Kriege, CPC, MA
Title
Executive Director
Phone
(480) 969-2723

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X NONE AZ Primary

Addresses

Primary practice location

5520 E Main St
Suite #1
Mesa, AZ 85205-8793

Mailing address

5520 E Main St
Suite #1
Mesa, AZ 85205-8793
Phone (480) 969-2783

National Provider Directory

National Provider Directory

Locations

5520 E Main St
Ste 1
Mesa, AZ 85205
Phone (480) 969-2783

461 N Gilbert Rd
Mesa, AZ 85203
Phone (480) 696-2783

807 N Stapley Dr
Mesa, AZ 85203
Phone (480) 969-2783

Practitioners & affiliated clinicians

Practitioners 5

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": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699884395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5520 E MAIN ST",
            "address_2": "SUITE #1",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852058793",
            "telephone_number": "480-969-2783",
            "fax_number": "480-969-3521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5520 E MAIN ST",
            "address_2": "SUITE #1",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852058793",
            "telephone_number": "480-969-2783",
            "fax_number": "480-969-3521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA INTERFAITH COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KRIEGE",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "480-969-2723",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPC, MA"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "NONE",
            "primary": true
        }
    ],
    "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 Aug 22, 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.