Avesis, LLC

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

Legal business name

AVESIS, LLC

Practice address

1275 W Washington St Ste 102
Tempe, AZ 85288-1859

Phone

(800) 522-0258

NPI assigned

Dec 27, 2011

Last updated

Oct 4, 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

Jennifer L Moore

Title

Regulatory License Manager

Phone

(207) 356-4244

Specialties & licenses 1

Addresses

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Avesis Third Party Administrators, LLC

  • Exclusive Provider Organization
  • Tempe, AZ
  • NPI 1336304229
  NPPES parent name

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

{
    "created_epoch": "1324944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696377600000",
    "number": "1871862599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 W WASHINGTON ST STE 102",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852881859",
            "telephone_number": "800-522-0258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 W WASHINGTON ST STE 102",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852881859",
            "telephone_number": "800-522-0258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVESIS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-27",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "REGULATORY LICENSE MANAGER",
        "authorized_official_telephone_number": "207-356-4244"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aalia Avelin, NMD
• Avella of Chandler, Inc
• Avery Counseling Services LLC
• John C Avery, D.O.
• Avesis Third Party Administrators, LLC
• Avira Behavioral PLLC
• Aw Healthcare LLC
• Almahal Awadalla
• Kayleigh Awadjie, LMSW
• Awakening Recovery Center

• Exclusive Provider Organization in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Exclusive Provider Organization in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; 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.