Ignite Counseling and Equine Psychotherapy

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

IGNITE COUNSELING AND EQUINE PSYCHOTHERAPY

Practice address

28475 N 84TH St
Scottsdale, AZ 85266-2265

Phone

(480) 271-5129

NPI assigned

May 13, 2020

Last updated

May 13, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ann Wilson, LACNPI 1871013706

Title

Owner

Phone

(480) 271-5129

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 1

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.

• Ann L. Wilson, LAC

  • Mental Health Counselor
  • Chandler, AZ
  • NPI 1871013706
  NPD Authorized official

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

{
    "created_epoch": "1589328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589328000000",
    "number": "1740802651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4314 E ROSEMONTE DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850503346",
            "telephone_number": "480-271-5129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28475 N 84TH ST",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852662265",
            "telephone_number": "480-271-5129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IGNITE COUNSELING AND EQUINE PSYCHOTHERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-13",
        "last_updated": "2020-05-13",
        "certification_date": "2020-05-13",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-271-5129",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Phoenix",
            "affiliation": "N",
            "address_1": "28475 N 84th St",
            "city": "Scottsdale",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852662265",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ideal Physiques
• Nauman Idrees, MBBS
• Thomas Scott Idzorek, MD
• Momina Iftikhar, MD
• Lester Ignacio, NP
• Ichiro Ikuta, M.D., M.M.SC.
• Daniel Thomas Ilges
• Margaret Ilges, LPC
• Steven Alexander Ilko, MD
• Illinois Urgent Care Provider Network, LLC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.