Gathered Connections Counseling Professional Limited Liability Com

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

GATHERED CONNECTIONS COUNSELING PROFESSIONAL LIMITED LIABILITY COM

Practice address

17505 N 79TH Ave Ste 304C
Glendale, AZ 85308-8729

Phone

(623) 521-5096

NPI assigned

Dec 27, 2022

Last updated

Jun 7, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michele Wiest, LCSW

Title

Owner

Phone

(623) 521-5096

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sarah Ellen Kircher, LMSW

  • Clinical Social Worker
  • Goodyear, AZ
  • NPI 1740812650
  Medicare reassignment Care Compare group NPD
• Jennifer Jenine Ramos, LCSW

  • Clinical Social Worker
  • Buckeye, AZ
  • NPI 1922359884
  Medicare reassignment Care Compare group NPD
• Michele Wiest-Alvarez

  • Clinical Social Worker
  • Goodyear, AZ
  • NPI 1700384070
  Medicare reassignment Care Compare group NPD
• Karen L Tabloff, LCSW

  • Clinical Social Worker
  • Hinsdale, IL
  • NPI 1093987448
  Care Compare group
• Margarita Madrid, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Glendale, AZ
  • NPI 1619476207
  NPD (past)

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

{
    "created_epoch": "1672099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686096000000",
    "number": "1851004584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30175 W MULBERRY DR",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853963158",
            "telephone_number": "623-521-5096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17505 N 79TH AVE STE 304C",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088729",
            "telephone_number": "623-521-5096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATHERED CONNECTIONS COUNSELING PROFESSIONAL LIMITED LIABILITY COM",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-27",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A",
        "authorized_official_last_name": "WIEST",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-521-5096",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Garza, LAC
• Liyouwork Gashi, RBT
• Nieshia Renee Gaskins
• Gateway Behavioral Health LLC
• Kayce Gatewood
• Shelby Marie Gattis, NNP
• Maren Gavia, FNP
• Anette G Gawelko, DO
• Gary E Gawelko Sr., PA-C
• Andrea Kay Gearing

• Clinical Social Worker in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Clinical Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.