Organization Active NPI

Resilient Community Care

  • Counselor
  • Phoenix, AZ
National Provider Identifier
1780322917
Registry record updated May 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
RESILIENT COMMUNITY CARE
Practice address
2818 W Northern Ave
Phoenix, AZ 85051-6626
Phone
(602) 500-3291
NPI assigned
May 26, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2022

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

Authorized official

Name
Deondra Hodge
Title
Employee
Phone
(602) 500-3291

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X Primary

Addresses

Primary practice location

2818 W Northern Ave
Phoenix, AZ 85051-6626

Mailing address

2818 W Northern Ave
Phoenix, AZ 85051-6626
Phone (602) 500-3291

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL DHODGE.RCC@GMAIL.COM

National Provider Directory

National Provider Directory

Locations

2818 W Northern Ave
Phoenix, AZ 85051
Phone (602) 218-6604

NPI Registry JSON

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

{
    "created_epoch": "1653523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653523200000",
    "number": "1780322917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2818 W NORTHERN AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850516626",
            "telephone_number": "602-500-3291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2818 W NORTHERN AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850516626",
            "telephone_number": "602-500-3291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESILIENT COMMUNITY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-26",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A",
        "authorized_official_last_name": "HODGE",
        "authorized_official_first_name": "DEONDRA",
        "authorized_official_title_or_position": "EMPLOYEE",
        "authorized_official_telephone_number": "602-500-3291"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "DHODGE.RCC@GMAIL.COM",
            "affiliation": "N",
            "address_1": "2818 W Northern Ave",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850516626",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 May 26, 2022; 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.