Active NPI
Safe Keepings Counseling LLC
- Adult Mental Health Clinic/Center
- Phoenix, AZ
National Provider Identifier
1902434236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- Legal business name
- SAFE KEEPINGS COUNSELING LLC
- Practice address
- 1717 W Northern Ave Ste 200
Phoenix, AZ 85021-5478 - Phone
- (888) 900-8082
- NPI assigned
- Mar 31, 2020
- 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
- Mr. Johnwick Nathan
- Title
- President
- Phone
- (888) 900-8082
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Addiction Medicine (Psychiatry & Neurology) Physician | 2084A0401X | |||
| Adult Mental Health Clinic/Center | 261QM0850X | Primary | ||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | |||
| Primary Care Nurse Practitioner | 363LP2300X |
Addresses
Primary practice location
1717 W Northern Ave Ste 200
Phoenix, AZ 85021-5478
Mailing address
1717 W Northern Ave Ste 200
Phoenix, AZ 85021-5478
Phone (888) 900-8082
Other names 1
- Harbor Health Integrated CAre
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | computer | Other |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585612800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1585612800000",
"number": "1902434236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1717 W NORTHERN AVE STE 200",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850215478",
"telephone_number": "888-900-8082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1717 W NORTHERN AVE STE 200",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850215478",
"telephone_number": "888-900-8082"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAFE KEEPINGS COUNSELING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-03-31",
"last_updated": "2020-03-31",
"certification_date": "2020-03-31",
"status": "A",
"authorized_official_last_name": "NATHAN",
"authorized_official_first_name": "JOHNWICK",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "888-900-8082",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084A0401X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Addiction Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Primary Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "computer",
"affiliation": "N",
"endpointDescription": "computer",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "Icanotes",
"address_1": "1717 W Northern Ave Ste 200",
"city": "Phoenix",
"state": "AZ",
"country_code": "US",
"postal_code": "850215478",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Harbor Health Integrated CAre",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.