Tackle Health LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

TACKLE HEALTH LLC

Practice address

2737 W Baseline Rd Ste 19
Tempe, AZ 85283-1051

Phone

(480) 219-9735

NPI assigned

Mar 13, 2021

Organization subpart

No

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

Authorized official

Name

Lacey Leonard

Title

President

Phone

(559) 403-6365

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Lacey Gooch

  • Counselor
  • Fresno, CA
  • NPI 1760659536
  NPD

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

{
    "created_epoch": "1615593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640131200000",
    "number": "1932784709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2737 W BASELINE RD STE 19",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852831051",
            "telephone_number": "480-219-9735",
            "fax_number": "480-219-9558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2737 W BASELINE RD STE 19",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852831051",
            "telephone_number": "480-219-9735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TACKLE HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-13",
        "last_updated": "2021-12-22",
        "certification_date": "2021-09-17",
        "status": "A",
        "authorized_official_last_name": "LEONARD",
        "authorized_official_first_name": "LACEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-403-6365"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward D Szmuc, M.D.
• Sergio Szpaizman, MD
• T L Young, DO, PC
• Amber Tabares, NMD
• Tabb Medical LLC
• Tad Skinner, PH.D. LLC
• Caroline Tade, NMD
• Sabrina Taft
• Nora B Tahmassian, PHARMD
• Daniela Crispo Talarico, MSW, LCSW

• Mental Health Counselor in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Mental Health Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2021; 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.