EMPACT SUICIDE PREVENTION CENTER (NPI# 1073938684) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073938684 |
Entity Type | Organization |
Organization Name | EMPACT SUICIDE PREVENTION CENTER |
Practice Address |
460 N Mesa Dr Suite 115 Mesa AZ 85201-5973 |
Mailing Address |
618 S Madison Dr Tempe AZ 85281-7248 |
Practice Telephone | 4808330227 |
Mailing Telephone | 4807841514 |
Mailing Fax Number | 4807364939 |
Enumeration Date | 2014-02-19 |
Last Update Date | 2014-02-19 |
Authorized Official Name | LAURA LARSON-HUFFAKER (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 4807841514 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | Agencies |
Street Address |
460 N MESA DR SUITE 115 |
City | MESA |
State | AZ |
Zip Code | 85201-5973 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093937021 | Encourage Empowerment | Counselor | 460 N Mesa Dr, Suite 207, Mesa, AZ 85201-5973 | 2007-05-02 |
1578025250 | Genoa Healthcare, LLC | Pharmacy | 460 N Mesa Dr, Unit 201, Suite 201p, Mesa, AZ 85201-5957 | 2019-04-02 |
1144790031 | Tharp Enterprises, L.L.C. | Counselor | 460 N Mesa Dr, Mesa, AZ 85201-5973 | 2018-12-04 |
1548741812 | Ana Williams | Nurse Practitioner | 460 N Mesa Dr, Mesa, AZ 85201-5973 | 2018-08-24 |
1124518204 | Community Bridges, Inc. | Clinic/Center | 460 N Mesa Dr, Mesa, AZ 85201-5973 | 2018-05-15 |
1437691292 | Brandon Healy | Nurse Practitioner | 460 N Mesa Dr, Suite 201, Mesa, AZ 85201-5973 | 2016-11-10 |
1538497912 | Southwest Network | Case Management | 460 N Mesa Dr, Suite 201, Mesa, AZ 85201-5973 | 2009-11-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174141980 | Arch Hospice, LLC. | Hospice Care, Community Based | 1209 N. Country Club Dr., Ste. 1, Mesa, AZ 85201 | 2020-07-08 |
1861025876 | Summit Bhc Mesa LLC | Clinic/Center | 846 North Center Street Suite 101, Mesa, AZ 85201 | 2020-02-18 |
1427600774 | Coleen Chatter | Counselor | 711 N. Evergreenrd. Apt#2088, Mesa, AZ 85201 | 2019-07-16 |
1013487800 | Akos Live | Family Medicine | 1902 W. Main Street, Mesa, AZ 85201 | 2018-12-05 |
1760990329 | Sage Counseling, Inc. | Community/Behavioral Health | 460 N. Mesa Drive, Suites 207 and 209, Mesa, AZ 85201 | 2018-01-17 |
1336590025 | Horizon Health and Wellness, Inc. | Assisted Living Facility | 453 West Sunset Circle, Mesa, AZ 85201 | 2016-06-24 |
1356711279 | Cheryl Agosto | Registered Nurse | 1025 N. Country Club Dr, Mesa, AZ 85201 | 2015-10-05 |
1861877961 | Richard Roble | Speech-Language Pathologist | 125 N. Country Club Dr., Mesa, AZ 85201 | 2015-07-30 |
1326440991 | Demetria Harris | Counselor | 455 N. Mesa Drive #11, Mesa, AZ 85201 | 2014-09-25 |
1588002489 | Zhen Liu | Acupuncturist | 210n. Center St, #102, Mesa, AZ 85201 | 2013-06-13 |
Find all providers in zip 85201 |
Taxonomy Code | 251S00000X |
Grouping | Agencies |
Classification | Community/Behavioral Health |
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710586144 | Brighter Tomorrow's Family Services, LLC | Community/Behavioral Health | 644 N Country Club Dr Ste D, Mesa, AZ 85201-4983 | 2020-10-16 |
1073120390 | Harmony Behavioral Home LLC | Community/Behavioral Health | 5437 E Harmony Ave, Mesa, AZ 85206-6750 | 2020-09-30 |
1992311716 | Life Force Community Services | Community/Behavioral Health | 1237 S Val Vista Dr Ste 113, Mesa, AZ 85204-6401 | 2020-09-17 |
1326650417 | Fresh Start Rescource Center LLC | Community/Behavioral Health | 840 E Mckellips Rd Ste 109, Mesa, AZ 85203-9654 | 2020-08-19 |
1679182745 | A Nod To Veterans LLC | Community/Behavioral Health | 2436 S Lennox, Mesa, AZ 85209-6663 | 2020-07-24 |
1205452117 | Md Life Strategies, Inc | Community/Behavioral Health | 7435 E Main St, Mesa, AZ 85207-8337 | 2020-06-17 |
1346864147 | Rising Youth LLC | Community/Behavioral Health | 5948 E Fountain Cir, Mesa, AZ 85205-5513 | 2020-06-08 |
1225659121 | Amazing Hope LLC | Community/Behavioral Health | 7103 E Onza Ave, Mesa, AZ 85212-9811 | 2020-05-01 |
1912535337 | Harmony Family Services II | Community/Behavioral Health | 2812 N Norwalk Ste 103, Mesa, AZ 85215-1148 | 2020-03-31 |
1528692118 | Sage Counseling, Inc. | Community/Behavioral Health | 460 N Mesa Dr Ste 116b, Mesa, AZ 85201-5974 | 2020-02-24 |
Find all providers in MESA |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.