Active NPI
Choice Wellness LLC
- Addiction (Substance Use Disorder) Counselor
- Mesa, AZ
National Provider Identifier
1881464154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Legal business name
- CHOICE WELLNESS LLC
- Practice address
- 460 N Mesa Dr Ste 110
Mesa, AZ 85201-5974 - Phone
- (480) 527-3873
- NPI assigned
- Jan 8, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Idoteyen Sodimu
- Title
- Ceo
- Phone
- (480) 527-3873
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Primary | ||
| Mental Health Counselor | 101YM0800X |
Addresses
Primary practice location
460 N Mesa Dr Ste 110
Mesa, AZ 85201-5974
Mailing address
460 N Mesa Dr Ste 110
Mesa, AZ 85201-5974
Phone (480) 527-3873
Other names 1
- Choice Wellness Intergrated Health LLC
National Provider Directory
National Provider DirectoryLocations
460 N Mesa Dr
Ste 110
Mesa, AZ 85201
Phone (480) 210-3563
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704672000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1704672000000",
"number": "1881464154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "460 N MESA DR STE 110",
"city": "MESA",
"state": "AZ",
"postal_code": "852015974",
"telephone_number": "480-527-3873"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "460 N MESA DR STE 110",
"city": "MESA",
"state": "AZ",
"postal_code": "852015974",
"telephone_number": "480-527-3873"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHOICE WELLNESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-01-08",
"last_updated": "2024-01-08",
"certification_date": "2024-01-07",
"status": "A",
"authorized_official_last_name": "SODIMU",
"authorized_official_first_name": "IDOTEYEN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "480-527-3873"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Choice Wellness Intergrated Health LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.