Active NPI
Premier Innovative Care Services
- Counselor
- Phoenix, AZ
National Provider Identifier
1740800366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Legal business name
- PREMIER INNOVATIVE CARE SERVICES
- Practice address
- 525 E Camelback Rd
Phoenix, AZ 85012-1615 - Phone
- (602) 296-7957
- NPI assigned
- Apr 23, 2020
- 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
- Ashley Hillsman
- Title
- Owner
- Phone
- (602) 296-7957
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
525 E Camelback Rd
Phoenix, AZ 85012-1615
Mailing address
525 E Camelback Rd
Phoenix, AZ 85012-1615
Phone (602) 296-7957
National Provider Directory
National Provider DirectoryLocations
525 E Camelback Rd
Phoenix, AZ 85012
Phone (602) 296-7957
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587600000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1587600000000",
"number": "1740800366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "525 E CAMELBACK RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850121615",
"telephone_number": "602-296-7957"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 E CAMELBACK RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850121615",
"telephone_number": "602-296-7957"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREMIER INNOVATIVE CARE SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2020-04-23",
"last_updated": "2020-04-23",
"certification_date": "2020-04-23",
"status": "A",
"authorized_official_last_name": "HILLSMAN",
"authorized_official_first_name": "ASHLEY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "602-296-7957"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Apr 23, 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.