Active NPI
Eventide Counseling and Consulting, LLC
- Mental Health Counselor
- Glendale, AZ
National Provider Identifier
1700754116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- EVENTIDE COUNSELING AND CONSULTING, LLC
- Practice address
- 18001 N 79TH Ave Ste A10
Glendale, AZ 85308-8389 - Phone
- (623) 278-5440
- Fax
- (623) 278-5440
- NPI assigned
- Oct 27, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Thuy Thu Tran, LPC
- Title
- Owner- Mental Health Counseling
- Phone
- (623) 239-8550
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
18001 N 79TH Ave Ste A10
Glendale, AZ 85308-8389
Mailing address
18001 N 79TH Ave Ste A10
Glendale, AZ 85308-8389
Phone (623) 278-5440
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & 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": "1761523200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1761523200000",
"number": "1700754116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18001 N 79TH AVE STE A10",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853088389",
"telephone_number": "623-278-5440",
"fax_number": "623-278-5440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18001 N 79TH AVE STE A10",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853088389",
"telephone_number": "623-278-5440",
"fax_number": "623-278-5440"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EVENTIDE COUNSELING AND CONSULTING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-10-27",
"last_updated": "2025-10-27",
"certification_date": "2025-10-27",
"status": "A",
"authorized_official_last_name": "TRAN",
"authorized_official_first_name": "THUY",
"authorized_official_middle_name": "THU",
"authorized_official_title_or_position": "OWNER- MENTAL HEALTH COUNSELING",
"authorized_official_telephone_number": "623-239-8550",
"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 Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.