NPIMap

Organization Active NPI

Healing Water Connections

  • Social Worker
  • Phoenix, AZ
National Provider Identifier
1720698673
Registry record updated Sep 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
HEALING WATER CONNECTIONS
Practice address
1038 E Colter St
Phoenix, AZ 85014-2622
Phone
(623) 414-9488
NPI assigned
Aug 5, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2020

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

Authorized official

Name
Ingrid Roxana Mejia, LCSWNPI 1104459973
Title
Owner
Phone
(623) 414-9488

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
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X Primary

Addresses

Primary practice location

1038 E Colter St
Phoenix, AZ 85014-2622

Mailing address

1038 E Colter St
Phoenix, AZ 85014-2622
Phone (623) 414-9488

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL ingriduchicago@gmail.com

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": "1596585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599264000000",
    "number": "1720698673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1038 E COLTER ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850142622",
            "telephone_number": "623-414-9488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1038 E COLTER ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850142622",
            "telephone_number": "623-414-9488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING WATER CONNECTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-05",
        "last_updated": "2020-09-05",
        "certification_date": "2020-09-05",
        "status": "A",
        "authorized_official_last_name": "MEJIA",
        "authorized_official_first_name": "INGRID",
        "authorized_official_middle_name": "ROXANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-414-9488",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "ingriduchicago@gmail.com",
            "affiliation": "N",
            "address_1": "1038 E Colter St",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850142622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.