Active NPI
Faith Solutions to Mental Health LLC
- Family Medicine Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- FAITH SOLUTIONS TO MENTAL HEALTH LLC
- Practice address
- 1401 E Jefferson St
Phoenix, AZ 85034-2315 - Phone
- (855) 529-3764
- Fax
- (602) 603-5984
- NPI assigned
- May 4, 2017
- 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
- Charity Elizabeth Northan, LPC
- Title
- Owner
- Phone
- (602) 529-6102
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Community/Behavioral Health Agency | 251S00000X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Medical Specialty Clinic/Center | 261QM2500X | |||
| Primary Care Clinic/Center | 261QP2300X |
Addresses
Primary practice location
1401 E Jefferson St
Phoenix, AZ 85034-2315
Mailing address
14050 N 83Rd Ave Ste 290
Peoria, AZ 85381-5650
Phone (602) 529-6102
Other practice location 1
838 Old George Washington Hwy N Ste 106
Chesapeake, VA 23323-2209
Phone (855) 529-3764
Other practice location 2
14050 N 83rd Ave Ste 290
Peoria, AZ 85381-5650
Phone (602) 529-6102
Other practice location 3
4801 Glenwood Ave Ste 200
Raleigh, NC 27612-3857
Phone (855) 529-3764
Other practice location 4
7310 W Camelback Rd
Glendale, AZ 85303-6113
Phone (602) 529-6102
National Provider Directory
National Provider DirectoryLocations
838 Old George Washington Hwy N
Ste 106
Chesapeake, VA 23323
Phone (855) 529-3764
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Seattle, WA
- NPI 1427561950
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493856000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1630454400000",
"number": "1760918254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14050 N 83RD AVE STE 290",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853815650",
"telephone_number": "602-529-6102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 E JEFFERSON ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850342315",
"telephone_number": "855-529-3764",
"fax_number": "602-603-5984"
}
],
"practiceLocations": [
{
"address_1": "838 Old George Washington Hwy N Ste 106",
"address_purpose": "LOCATION",
"city": "Chesapeake",
"state": "VA",
"postal_code": "233232209",
"country_code": "US",
"telephone_number": "855-529-3764",
"fax_number": "602-603-5984",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "14050 N 83rd Ave Ste 290",
"address_purpose": "LOCATION",
"city": "Peoria",
"state": "AZ",
"postal_code": "853815650",
"country_code": "US",
"telephone_number": "602-529-6102",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4801 Glenwood Ave Ste 200",
"address_purpose": "LOCATION",
"city": "Raleigh",
"state": "NC",
"postal_code": "276123857",
"country_code": "US",
"telephone_number": "855-529-3764",
"fax_number": "602-603-5984",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7310 W Camelback Rd",
"address_purpose": "LOCATION",
"city": "Glendale",
"state": "AZ",
"postal_code": "853036113",
"country_code": "US",
"telephone_number": "602-529-6102",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "FAITH SOLUTIONS TO MENTAL HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-05-04",
"last_updated": "2021-09-01",
"certification_date": "2021-09-01",
"status": "A",
"authorized_official_last_name": "NORTHAN",
"authorized_official_first_name": "CHARITY",
"authorized_official_middle_name": "ELIZABETH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "602-529-6102",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral 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": false
},
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": false
}
],
"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 Sep 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.