Organization Active NPI

Fresh Start Center LLC

  • Community/Behavioral Health Agency
  • Mesa, AZ
National Provider Identifier
1982322210
Registry record updated Aug 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
FRESH START CENTER LLC
Practice address
1550 S Alma School Rd Ste 102
Mesa, AZ 85210-2109
Phone
(702) 406-4466
NPI assigned
Aug 22, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2022

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

Authorized official

Name
Tracy Pleasant
Title
Administrator
Phone
(702) 406-4466

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1550 S Alma School Rd Ste 102
Mesa, AZ 85210-2109

Mailing address

840 E McKellips Rd Ste 109
Mesa, AZ 85203-9654
Phone (702) 406-4466

National Provider Directory

National Provider Directory

Locations

1550 S Alma School Rd
Ste 102
Mesa, AZ 85210
Phone (430) 461-3144

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1661126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661126400000",
    "number": "1982322210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 E MCKELLIPS RD STE 109",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852039654",
            "telephone_number": "702-406-4466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 S ALMA SCHOOL RD STE 102",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852102109",
            "telephone_number": "702-406-4466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESH START CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-22",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A",
        "authorized_official_last_name": "PLEASANT",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "702-406-4466"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

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