Organization Active NPI

Elevate Peer Support, LLC.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Tempe, AZ
National Provider Identifier
1861997207
Registry record updated Dec 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
ELEVATE PEER SUPPORT, LLC.
Practice address
2600 E Southern Ave Ste D1
Tempe, AZ 85282-7747
Phone
(480) 550-1201
NPI assigned
Mar 28, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2021

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

Authorized official

Name
Alexis Benson
Title
Cfo
Phone
(480) 550-1201

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

2600 E Southern Ave Ste D1
Tempe, AZ 85282-7747

Mailing address

2600 E Southern Ave Ste D1
Tempe, AZ 85282-7747

National Provider Directory

National Provider Directory

Locations

2600 E Southern Ave
Ste D1
Tempe, AZ 85282
Phone (480) 219-7272

NPI Registry JSON

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

{
    "created_epoch": "1522195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640736000000",
    "number": "1861997207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 E SOUTHERN AVE STE D1",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 E SOUTHERN AVE STE D1",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827747",
            "telephone_number": "480-550-1201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATE PEER SUPPORT, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-28",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-29",
        "status": "A",
        "authorized_official_last_name": "BENSON",
        "authorized_official_first_name": "ALEXIS",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "480-550-1201"
    },
    "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 Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.