New Destiny Healing Arts Center

Primary specialty

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

Legal business name

NEW DESTINY HEALING ARTS CENTER

Practice address

5540 W Glendale Ave Ste C102
Glendale, AZ 85301-2581

Phone

(480) 395-0233

NPI assigned

Nov 30, 2022

Last updated

Feb 2, 2024By 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

Sharli Berry, LPCNPI 1871022111

Title

Cco

Phone

(602) 770-2055

Specialties & licenses 6

Addresses

Tax ID family

New Destiny Healing Arts Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• New Destiny Healing Arts Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Claypool, AZ
  • NPI 1154108041
  NPD tax ID
• New Destiny Healing Arts Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bullhead City, AZ
  • NPI 1932986205
  NPD tax ID

Locations

Practitioners 2

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.

• Sharli Berry, LPC

  • Professional Counselor
  • Tempe, AZ
  • NPI 1871022111
  NPD (past) Authorized official
• Taylor Amundson, LAC, LASAC

  • Counselor
  • Glendale, AZ
  • NPI 1780458745
  NPD

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

{
    "created_epoch": "1669766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706832000000",
    "number": "1811607807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8205 S PRIEST DR UNIT 12451",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852840175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5540 W GLENDALE AVE STE C102",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853012581",
            "telephone_number": "480-395-0233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW DESTINY HEALING ARTS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-30",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "SHARLI",
        "authorized_official_title_or_position": "CCO",
        "authorized_official_telephone_number": "602-770-2055",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "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
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332800000X",
            "taxonomy_group": "",
            "desc": "Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Glendale, AZ
• Providers in Glendale, 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 Feb 2, 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.