Active NPI
Rebecca Teslow, MA BHT
- Counselor
- Glendale, AZ
National Provider Identifier
1881473544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 17505 N 79TH Ave Ste 105
Glendale, AZ 85308-8724 - Phone
- (602) 989-8899
- Fax
- (602) 900-0969
- NPI assigned
- Sep 22, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
17505 N 79TH Ave Ste 105
Glendale, AZ 85308-8724
Mailing address
17505 N 79TH Ave Ste 105
Glendale, AZ 85308-8724
Phone (602) 989-8899
Other practice location 1
23460 N 19th Ave Ste 220
Phoenix, AZ 85027-2170
Phone (602) 989-8899
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740851542 | Other | AZ | JANUARY HARTZE INDIVIDUAL NPI |
| 1043982747 | Other | AZ | HEALING HARTZE ORGANIZATIONAL NPI |
| CSLG13230 | Other | AZ | ARIZONA DEPARTMENT OF HEALTH SERVICES |
| 125011 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healing Hartze, PLLC | Counselor | Current | Accepting new patients |
| Healing Hartze, PLLC | Counselor | Current | Accepting new patients |
Locations
17505 N 79th Ave
Ste 105
Glendale, AZ 85308
Phone (602) 292-4477
23460 N 19th Ave
Ste 220
Phoenix, AZ 85027
Phone (602) 292-1862
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Counselor
- Glendale, AZ
- NPI 1043982747
-
- Counselor
- Phoenix, AZ
- NPI 1801623228
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710288000000",
"number": "1881473544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17505 N 79TH AVE STE 105",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853088724",
"telephone_number": "602-989-8899",
"fax_number": "602-900-0969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17505 N 79TH AVE STE 105",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853088724",
"telephone_number": "602-989-8899",
"fax_number": "602-900-0969"
}
],
"practiceLocations": [
{
"address_1": "23460 N 19th Ave Ste 220",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850272170",
"country_code": "US",
"telephone_number": "602-989-8899",
"fax_number": "602-900-0969",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TESLOW",
"first_name": "REBECCA",
"credential": "MA BHT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-22",
"last_updated": "2024-03-13",
"certification_date": "2024-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JANUARY HARTZE INDIVIDUAL NPI",
"identifier": "1740851542",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALING HARTZE ORGANIZATIONAL NPI",
"identifier": "1043982747",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARIZONA DEPARTMENT OF HEALTH SERVICES",
"identifier": "CSLG13230",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "125011",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.