Urejo Hassan Haji Bare

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

BH7631 Issued in AZ

Practice address

5308 W Novak Way
Laveen, AZ 85339-2995

Phone

(623) 218-8074

NPI assigned

Jun 23, 2022

Last updated

Jun 23, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Faith Group Angels, LLC

  dba Faith Group Angels

  • Addiction (Substance Use Disorder) Counselor
  • Laveen, AZ
  • NPI 1750014726
  NPD Authorized official

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

{
    "created_epoch": "1655942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655942400000",
    "number": "1922739663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5308 W NOVAK WAY",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853392995",
            "telephone_number": "623-218-8074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5308 W NOVAK WAY",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853392995",
            "telephone_number": "623-218-8074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAJI BARE",
        "first_name": "UREJO",
        "middle_name": "HASSAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-23",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "BH7631",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA DEPARTMENT OF HEALTH SERVICES",
            "identifier": "BH7631",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "uhb@faithgroupangels.onmicrosoft.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5308 W Novak Way",
            "city": "Laveen",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853392995",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Great Valley Behavioral Homes
• Great Valley Behavioral Homes LLC
• Shannon Renee Gregory
• Jai Gruenwald
• Michael John Haile, DPT
• Jonathan Andrew Haley
• Angela Hamilton
• Paulette Hamilton
• Fiona Handschin
• Natasha Marie Hansen, CDCIII

• Addiction (Substance Use Disorder) Counselor in Laveen, AZ
• Providers in Laveen, AZ by specialty
• Addiction (Substance Use Disorder) Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2022; 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.