Organization Active NPI

Faith Solutions to Mental Health LLC

  • Family Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1760918254
Registry record updated Sep 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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

Updated by the provider on Sep 1, 2021

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.