Organization Active NPI

Millennial Therapy PLLC

  • Mental Health Counselor
  • Tempe, AZ
National Provider Identifier
1841962743
Registry record updated Sep 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MILLENNIAL THERAPY PLLC
Practice address
1003 W Washington St Apt 3094
Tempe, AZ 85281-0936
Phone
(847) 250-2815
NPI assigned
Sep 30, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2021

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

Authorized official

Name
Amanda PryorNPI 1881118875
Title
Owner
Phone
(847) 250-2815

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
Case Management Agency 251B00000X
Home Health Agency 251E00000X

Addresses

Primary practice location

1003 W Washington St Apt 3094
Tempe, AZ 85281-0936

Mailing address

1003 W Washington St Apt 3094
Tempe, AZ 85281-0936
Phone (847) 250-2815

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1632960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632960000000",
    "number": "1841962743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 W WASHINGTON ST APT 3094",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852810936",
            "telephone_number": "847-250-2815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 W WASHINGTON ST APT 3094",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852810936",
            "telephone_number": "847-250-2815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLENNIAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-30",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-29",
        "status": "A",
        "authorized_official_last_name": "PRYOR",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-250-2815"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2021; 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.