Active NPI
Springforth Holistic Health LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Phoenix, AZ
National Provider Identifier
1821859703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- SPRINGFORTH HOLISTIC HEALTH LLC
- Practice address
- 2224 W Northern Ave Ste D208
Phoenix, AZ 85021-4928 - Phone
- (623) 428-1225
- NPI assigned
- Jan 18, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Erin Stark
- Title
- Sr RCM Sme
- Phone
- (317) 225-0489
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
2224 W Northern Ave Ste D208
Phoenix, AZ 85021-4928
Mailing address
42304 W Ramirez Dr
Maricopa, AZ 85138-1819
Phone (602) 387-0189
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 03D2341475 | Springforth Holistic Health LLC | Certificate of waiver | Apr 1, 2028 |
National Provider Directory
National Provider DirectoryLocations
2224 W Northern Ave
Ste D208
Phoenix, AZ 85021
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705536000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1781136000000",
"number": "1821859703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42304 W RAMIREZ DR",
"city": "MARICOPA",
"state": "AZ",
"postal_code": "851381819",
"telephone_number": "602-387-0189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2224 W NORTHERN AVE STE D208",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850214928",
"telephone_number": "623-428-1225"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPRINGFORTH HOLISTIC HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-01-18",
"last_updated": "2026-06-11",
"certification_date": "2026-06-11",
"status": "A",
"authorized_official_last_name": "STARK",
"authorized_official_first_name": "ERIN",
"authorized_official_title_or_position": "SR RCM SME",
"authorized_official_telephone_number": "317-225-0489"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Jun 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.