NPIMap

Organization Active NPI

Angel Heart Health Center

  • Mental Health Counselor
  • Mesa, AZ
National Provider Identifier
1750928818
Registry record updated Dec 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
ANGEL HEART HEALTH CENTER
Practice address
1641 E University Dr Ste 101
Mesa, AZ 85203-8131
Phone
(702) 888-0263
NPI assigned
Dec 6, 2019
Last updated
Dec 6, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2019

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

Authorized official

Name
Johnny HankstonNPI 1225494271
Title
Owner
Phone
(702) 888-0263

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
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

1641 E University Dr Ste 101
Mesa, AZ 85203-8131

Mailing address

1641 E University Dr Ste 101
Mesa, AZ 85203-8131
Phone (702) 888-0263

National Provider Directory

National Provider Directory

Locations

1641 E University Dr
Ste 101
Mesa, AZ 85203
Phone (702) 888-0263

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1575590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575590400000",
    "number": "1750928818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1641 E UNIVERSITY DR STE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852038131",
            "telephone_number": "702-888-0263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1641 E UNIVERSITY DR STE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852038131",
            "telephone_number": "702-888-0263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL HEART HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-06",
        "last_updated": "2019-12-06",
        "status": "A",
        "authorized_official_last_name": "HANKSTON",
        "authorized_official_first_name": "JOHNNY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-888-0263"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2019; 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.