Semper Fidelis Behavioral Health & Counseling, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

SEMPER FIDELIS BEHAVIORAL HEALTH & COUNSELING, LLC

Practice address

3606 E Baseline Rd Unit 288
Phoenix, AZ 85042-9617

Phone

(480) 430-5491

NPI assigned

Apr 16, 2020

Organization subpart

No

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

Authorized official

Name

Nasson Nathan, ADMINISTRATOR

Title

Ceo

Phone

(480) 430-5491

Specialties & licenses 1

Addresses

Electronic endpoints 1

Tax ID family

Semper Fidelis Behavioral Health Counseling LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Semper Fidelis Behavioral Health & Counseling, LLC

  • Substance Abuse Rehabilitation Facility
  • Phoenix, AZ
  • NPI 1346860657
  NPD tax ID

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

{
    "created_epoch": "1586995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586995200000",
    "number": "1881214195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3606 E BASELINE RD UNIT 288",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850429617",
            "telephone_number": "860-308-3823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3606 E BASELINE RD UNIT 288",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850429617",
            "telephone_number": "480-430-5491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEMPER FIDELIS BEHAVIORAL HEALTH & COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-16",
        "last_updated": "2020-04-16",
        "certification_date": "2020-04-16",
        "status": "A",
        "authorized_official_last_name": "NATHAN",
        "authorized_official_first_name": "NASSON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-430-5491",
        "authorized_official_credential": "ADMINISTRATOR"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Phoenix",
            "affiliation": "N",
            "address_1": "3606 E Baseline Rd Unit 288",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850429617",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• William John Semmens, M.D.
• Natalie Jane Semon, PT
• Osha Rose Sempel, LMSW
• Semper Fi Counseling Services, LLC
• Semper Fidelis Behavioral Health & Counseling, LLC
• Semper Fidelis Behavioral Health Care, LLC
• Semper Fidelis Behavioral Health Care, LLC
• Serenity Joy Semper
• Ashkan R Semyary, DMD
• Sena Home Care LLC (Go Serenity Stay)

• Mental Health Counselor in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Mental Health Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2020; 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.