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
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| SLP4722 | AZ | MD | Speech-Language Pathologist |
| TSLP4722 | AZ | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mentis Reo, LLC. | Current |
Accepting new patients | |
| Accessible Therapy LLC | Speech-Language Pathologist | Current |
Accepting new patients |
| Advanced Therapy Solutions, LLC | Current |
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
NPI Registry JSON
{
"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
- Brittney Hillyard
- Audrey Carol Hilmoe
- Ebony Hilson
- Gary Hinchman
- Mark Raymond Hinde
- Yousef Mohammed Hindi
- Amanda Marie Hineline
- Georgina Hines
- Lisa Marie Hines
- Stephanie Marie Hines
All providers in Mesa, AZ · Speech-Language Pathologist in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 10, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.