Adrian Leigh Hindes, MS CCC SLP

Individual provider Active NPI Speech-Language Pathologist · Mesa, AZ

NPI 1831265008 · NPPES record last updated Apr 10, 2023

Key facts

NPI
1831265008
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
SLP4722 (AZ)
Practice address
2220 S Country Club
#104
Mesa, AZ 85210
Phone
(480) 820-6366
Fax
(480) 820-0462
NPI assigned
Nov 28, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in AZ

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20190517001425 AZ Practitioner - Qualified Speech Language Pathologist 3476896259 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SLP4722AZMDSpeech-Language Pathologist
TSLP4722AZMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mentis Reo, LLC. Current
since Jan 5, 2023
Accepting new patients
Accessible Therapy LLC Speech-Language Pathologist Current
since Jul 9, 2023
Accepting new patients
Advanced Therapy Solutions, LLC Current
since Jan 5, 2023
Accepting new patients
East Valley Speech Pathology Assoc LLC Past Accepting new patients

Locations

690 E Warner Rd
Ste 105
Gilbert, AZ 85296
Phone (480) 820-6366

2220 S Country Club Dr
Ste 104
Mesa, AZ 85210
Phone (480) 820-6366

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X TSLP4722 AZ
Speech-Language Pathologist 235Z00000X SLP4722 AZ Yes

Addresses

Primary practice location

2220 S Country Club
#104
Mesa, AZ 85210

Mailing address

PO Box 6397
Chandler, AZ 85246
Phone (480) 820-6366

Other practice location 1

690 E Warner Rd Ste 105
Gilbert, AZ 85296-3055
Phone (480) 820-6366

Other names

  • Miss Adrian Leigh Betush Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 10, 2023.

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681084800000",
    "number": "1831265008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6397",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "85246",
            "telephone_number": "480-820-6366",
            "fax_number": "480-820-0462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 S COUNTRY CLUB",
            "address_2": "#104",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85210",
            "telephone_number": "480-820-6366",
            "fax_number": "480-820-0462"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "690 E Warner Rd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852963055",
            "country_code": "US",
            "telephone_number": "480-820-6366",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HINDES",
        "first_name": "ADRIAN",
        "middle_name": "LEIGH",
        "name_prefix": "Mrs.",
        "credential": "MS CCC SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "TSLP4722",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP4722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ADRIAN",
            "last_name": "BETUSH",
            "middle_name": "LEIGH",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mesa, AZ

All providers in Mesa, AZ · Speech-Language Pathologist in Arizona

Sources for this page

Verify at the official NPI Registry.