GOTHAM RANCH, LLC (NPI# 1609353077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609353077 |
| Entity Type | Organization |
| Organization Name | GOTHAM RANCH, LLC |
| Practice Address |
4342 E Edgewood Ave Mesa AZ 85206-2646 |
| Practice Telephone | 4805775327 |
| Mailing Telephone | 4805775327 |
| Enumeration Date | 2018-07-27 |
| Last Update Date | 2018-07-27 |
| Authorized Official Name | JESSICA LYNN BREZNAK-HIGGINS (OWNER/COUNSELOR) |
| Authorized Official Telephone | 4805775327 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| Street Address |
4342 E EDGEWOOD AVE |
| City | MESA |
| State | AZ |
| Zip Code | 85206-2646 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801373279 | Jessica Lynn Breznak-higgins | Counselor | 4342 E Edgewood Ave, Mesa, AZ 85206-2646 | 2018-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693062 | Inner Balance Counseling LLC | Counselor | 4111 E Auto Valley Drive, Suite 101, Mesa, AZ 85206 | 2020-09-14 |
| 1356978969 | Choices 4 Change Counseling and Coaching LLC | Social Worker | 3707 E Southern Ave., Suite 2027, Mesa, AZ 85206 | 2020-03-24 |
| 1023651288 | Jason Mcclure | Hearing Instrument Specialist | 5540 E Broadway Rd., Mesa, AZ 85206 | 2019-10-21 |
| 1255995361 | Vhs of Phoenix Inc | General Acute Care Hospital | 5750 E. Baseline Rd., Mesa, AZ 85206 | 2019-04-24 |
| 1932682184 | Adam Fishel Frose | Psychologist | 4555 E Inverness Ave Ste 112, Mesa, AZ 85206 | 2018-09-13 |
| 1376024737 | Robyn Kathleen Hall | Psychologist | 4115 East Valley Auto Drive, Suite 208, Mesa, AZ 85206 | 2018-08-23 |
| 1790264984 | Perspective Health, LLC | Clinic/Center | 1959 S. Power Rd, Suite 103, #206, Mesa, AZ 85206 | 2018-08-09 |
| 1033605159 | Rebecca Ann Maro | Nurse Practitioner | 6750 E Baywood Ave Ste 502, Mesa, AZ 85206 | 2018-07-02 |
| 1982195624 | Spark Performance and Physiotherapy | Clinic/Center | 6056 East Basline Road, Suite 147, Mesa, AZ 85206 | 2018-05-29 |
| 1336645993 | Ashley Wright | Audiologist-Hearing Aid Fitter | 1423 S Higley Rd Ste 119, Mesa, AZ 85206 | 2018-04-03 |
| Find all providers in zip 85206 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568063154 | Cleshaun A Dubose | Counselor | 6344 E Brown Rd Ste 104, Mesa, AZ 85205-4843 | 2020-11-02 |
| 1538780572 | Larry Jay Solomon | Counselor | 10710 E Medina Ave, Mesa, AZ 85209-3213 | 2020-04-30 |
| 1902427263 | Kelly Ann Meis I | Counselor | 3707 E Southern Ave Ste 1023, Mesa, AZ 85206-6202 | 2020-04-28 |
| 1518592971 | Debra L Delvecchio-lee | Counselor | 2152 S Vineyard Bldg 4, Mesa, AZ 85210-6871 | 2020-03-05 |
| 1093355356 | Kristen Eldridge | Counselor | 2929 N. Power Rd. Suite 101, Mesa, AZ 85215 | 2020-01-14 |
| 1861041733 | Belinda Wiens | Counselor | 2135 E University Dr., Suite 116, Mesa, AZ 85213 | 2019-09-04 |
| 1205497187 | Bonita Belinda Becker | Counselor | 3740 E Southern Ave Ste 120, Mesa, AZ 85206-2568 | 2019-06-22 |
| 1558927996 | Angeline Reine | Counselor | 4111 E Valley Auto Dr Ste 209-4, Mesa, AZ 85206-4605 | 2019-05-10 |
| 1639733520 | Randi Shuriee Gray | Counselor | 3740 E Southern Ave Ste 209, Mesa, AZ 85206-2512 | 2019-04-25 |
| 1396210324 | Austin Christopher Reina | Counselor | 2407 E Jacinto Ave, Mesa, AZ 85204-7008 | 2018-10-05 |
| 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.