The Order of Promise, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

THE ORDER OF PROMISE, LLC

Practice address

1930 S Alma School Rd Ste A203
Mesa, AZ 85210-3066

Phone

(480) 256-8566

NPI assigned

Jan 14, 2022

Organization subpart

No

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

Authorized official

Name

Aaron David Hallstrom, PHD, LIAC, LCDCNPI 1588922884

Title

Owner

Phone

(480) 360-2172

Specialties & licenses 3

Addresses

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Aaron David Hallstrom, PHD, LIAC

  • Addiction (Substance Use Disorder) Counselor
  • Mesa, AZ
  • NPI 1588922884
  NPD Authorized official

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

{
    "created_epoch": "1642118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729036800000",
    "number": "1801547468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 S ALMA SCHOOL RD STE A203",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852103066",
            "telephone_number": "480-256-8566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 S ALMA SCHOOL RD STE A203",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852103066",
            "telephone_number": "480-256-8566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ORDER OF PROMISE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-14",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A",
        "authorized_official_last_name": "HALLSTROM",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-360-2172",
        "authorized_official_credential": "PHD, LIAC, LCDC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental 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": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.psychologytoday.com/us/therapists/85212/926165?sid=61e248a6e8518&ref=2",
            "affiliation": "N",
            "endpointDescription": "Psychology Today Webpage",
            "address_1": "1930 S Alma School Rd Ste B212",
            "city": "Mesa",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852102104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; 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.