Organization Active NPI

Choice Wellness LLC

  • Addiction (Substance Use Disorder) Counselor
  • Mesa, AZ
National Provider Identifier
1881464154
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
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

Updated by the provider on Jan 8, 2024

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)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X Primary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.