Glendale Therapy Associates LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

GLENDALE THERAPY ASSOCIATES LLC

Practice address

17100 N 67TH Ave Ste 400
Glendale, AZ 85308-3698

Phone

(602) 938-3323

Fax

(602) 938-1626

NPI assigned

Feb 22, 2016

Last updated

Feb 22, 2016By 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

Dr. Carol Gegenheimer, PHDNPI 1437234325

Title

Member

Phone

(602) 938-3323

Specialties & licenses 1

Addresses

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.

• Carol Ann Gegenheimer, PH.D., LISAC, LMFT

  • Marriage & Family Therapist
  • Glendale, AZ
  • NPI 1437234325
  Authorized official Same address or phone

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

{
    "created_epoch": "1456099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456099200000",
    "number": "1801255633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17100 N 67TH AVE STE 400",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853083698",
            "telephone_number": "602-938-3323",
            "fax_number": "602-938-1626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17100 N 67TH AVE STE 400",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853083698",
            "telephone_number": "602-938-3323",
            "fax_number": "602-938-1626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENDALE THERAPY ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-22",
        "last_updated": "2016-02-22",
        "status": "A",
        "authorized_official_last_name": "GEGENHEIMER",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "602-938-3323",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Mental Health Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2016; 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.