Active NPI
Icare Health Services LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Glendale, AZ
National Provider Identifier
1740026947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- ICARE HEALTH SERVICES LLC
- Practice address
- 5222 W Glendale Ave
Glendale, AZ 85301-2604 - Phone
- (623) 303-3813
- NPI assigned
- Jul 8, 2024
- Last updated
- Feb 7, 2026
- 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
- Victoria Fabuluje
- Title
- President/Ceo
- Phone
- (202) 717-2541
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Mental Health Counselor | 101YM0800X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary | ||
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | |||
| Primary Care Clinic/Center | 261QP2300X | |||
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | |||
| Clinical Medical Laboratory | 291U00000X | |||
| Community/Behavioral Health Agency | 251S00000X |
Addresses
Primary practice location
5222 W Glendale Ave
Glendale, AZ 85301-2604
Mailing address
3006 W Donner Dr
Phoenix, AZ 85041-6345
Phone (202) 717-2541
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 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychiatric/Mental Health Nurse Practitioner
- Tucson, AZ
- NPI 1023906997
-
- Psychiatric/Mental Health Nurse Practitioner
- Phoenix, AZ
- NPI 1598569089
-
- Psychiatric/Mental Health Nurse Practitioner
- Phoenix, AZ
- NPI 1336916105
-
- Psychiatric/Mental Health Nurse Practitioner
- Phoenix, AZ
- NPI 1689441636
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1720396800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1770422400000",
"number": "1740026947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3006 W DONNER DR",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850416345",
"telephone_number": "202-717-2541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5222 W GLENDALE AVE",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853012604",
"telephone_number": "623-303-3813"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ICARE HEALTH SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-08",
"last_updated": "2026-02-07",
"certification_date": "2026-02-07",
"status": "A",
"authorized_official_last_name": "FABULUJE",
"authorized_official_first_name": "VICTORIA",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "202-717-2541"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": false
},
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
}
],
"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 Feb 7, 2026; 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.