NPIMap

Organization Active NPI

Teri's Health Services

  • Community/Behavioral Health Agency
  • Cottonwood, AZ
National Provider Identifier
1811627524
Registry record updated Nov 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
TERI'S HEALTH SERVICES
Doing business as
Teri's Health Services
Practice address
203 S Candy LN Ste 6Ab
Cottonwood, AZ 86326-4120
Phone
(602) 358-7073
Fax
(888) 927-0409
NPI assigned
Jun 15, 2022
Organization subpart
Yes
Parent organization
TERI HOURIHAN COUNSELING LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 29, 2022

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

Authorized official

Name
Penny Swing
Title
Account/Credentialing Manager
Phone
(928) 318-3835

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

203 S Candy LN Ste 6Ab
Cottonwood, AZ 86326-4120

Mailing address

6635 W Happy Valley Rd Ste A104-621
Glendale, AZ 85310-2609
Phone (602) 358-7073

Other identifiers 1

IdentifierTypeStateIssuer
405477MedicaidAZ

Other names 1

  • Teri's Health Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Teri's Health Services LLC6 organizations share this tax ID, including this one
Part of
Teri's Health Services LLC

Other organizations with this tax ID 5

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

NPI Registry JSON

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

{
    "created_epoch": "1655251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669680000000",
    "number": "1811627524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6635 W HAPPY VALLEY RD STE A104-621",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853102609",
            "telephone_number": "602-358-7073",
            "fax_number": "888-927-0409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 S CANDY LN STE 6AB",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863264120",
            "telephone_number": "602-358-7073",
            "fax_number": "888-927-0409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERI'S HEALTH SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TERI HOURIHAN COUNSELING LLC",
        "enumeration_date": "2022-06-15",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A",
        "authorized_official_last_name": "SWING",
        "authorized_official_first_name": "PENNY",
        "authorized_official_title_or_position": "ACCOUNT/CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "928-318-3835"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "405477",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Teri's Health Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Teri's Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cottonwood, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.