Individual provider Active NPI

Tonga Therese Bryant, LPC

  • Professional Counselor
  • Phoenix, AZ
National Provider Identifier
1700280609
Registry record updated Oct 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
18871 Issued in AZ
Practice address
5151 N 16TH St Apt 1010
Phoenix, AZ 85016-3807
Phone
(480) 420-9603
Fax
(480) 393-7142
NPI assigned
Oct 21, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 4694 LA
Professional Counselor 101YP2500X 18871 AZ Primary

Addresses

Primary practice location

5151 N 16TH St Apt 1010
Phoenix, AZ 85016-3807

Mailing address

1701 E Colter St Unit 202
Phoenix, AZ 85016-3374
Phone (480) 420-9603

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240326003573 AZ Practitioner - Mental Health Counselor 7517304504 Reassigns benefits to 1 organization
Practice locations: Phoenix, AZ

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4694LAMDProfessional Counselor
18871AZMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Still Ripples Counseling & Consulting LLC CurrentSince Oct 15, 2023 Accepting new patients
Mental Health Specialty Group PA Professional CurrentSince Jun 1, 2025 Accepting new patients
Tonga'S Counseling and Assessment Services PastSince Jan 15, 2024 Accepting new patients

Locations

2550 W Union Hills Dr
Phoenix, AZ 85027
Phone (602) 358-0224

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1413849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696723200000",
    "number": "1700280609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 E COLTER ST UNIT 202",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850163374",
            "telephone_number": "480-420-9603",
            "fax_number": "480-393-7142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5151 N 16TH ST APT 1010",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850163807",
            "telephone_number": "480-420-9603",
            "fax_number": "480-393-7142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "TONGA",
        "middle_name": "THERESE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-21",
        "last_updated": "2023-10-08",
        "certification_date": "2023-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "4694",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "18871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.