Shine His Light LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

SHINE HIS LIGHT LLC

Practice address

30817 N 144TH St
Scottsdale, AZ 85262-6837

Phone

(480) 414-3916

NPI assigned

Oct 25, 2023

Organization subpart

No

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

Authorized official

Name

Jacqueline Kaleigh RogersNPI 1295371342

Title

Owner and Employee

Phone

(480) 414-3916

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jacqueline Rogers, LCSW

  • Social Worker
  • Phoenix, AZ
  • NPI 1295371342

  Clinical

  NPD Authorized official

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

{
    "created_epoch": "1698192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698883200000",
    "number": "1902678600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 551",
            "city": "APACHE JUNCTION",
            "state": "AZ",
            "postal_code": "851174019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30817 N 144TH ST",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852626837",
            "telephone_number": "480-414-3916"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "371 W 22nd Ave",
            "address_purpose": "LOCATION",
            "city": "Apache Junction",
            "state": "AZ",
            "postal_code": "851207718",
            "country_code": "US",
            "telephone_number": "480-414-3916",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SHINE HIS LIGHT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-25",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "KALEIGH",
        "authorized_official_title_or_position": "OWNER AND EMPLOYEE",
        "authorized_official_telephone_number": "480-414-3916"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tate Shimon, MOT, OTR/L
• Clifford Hyun Min Shin, MD PHD
• Sul Hwa Shin, MD
• Stephen Samuel Shinault, DO
• Scott Lee Shindler, DPM
• Jahaz N Shine, NMD
• Vivian Wei-Hun Shing
• Shining Light Counseling LLC
• Yuki Shinya, MD, PHD
• Susan Shipley-Slick, O.D.

• Clinical Social Worker in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Clinical Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; 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.