RED MOUNTAIN BEHAVIORAL HEALTH SERVICES, LLC (NPI# 1770842544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770842544 |
| Entity Type | Organization |
| Organization Name | RED MOUNTAIN BEHAVIORAL HEALTH SERVICES, LLC |
| Practice Address |
1255 S Rialto Unit 124 Mesa AZ 85209-3779 |
| Mailing Address |
2915 E Baseline Rd Ste 115 Gilbert AZ 85234-2427 |
| Practice Telephone | 4806419552 |
| Practice Fax Number | 4809810893 |
| Mailing Telephone | 4806419552 |
| Mailing Fax Number | 4809810893 |
| Enumeration Date | 2012-05-14 |
| Last Update Date | 2012-08-21 |
| Authorized Official Name | MR. RANDY KINSEL (CEO/OWNER) |
| Authorized Official Telephone | 4806419552 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | BH4012 | AZ | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | STATE BEHAVIORAL HEALTH LICENSURE | BH4012 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265859235 | Red Mountain Behavioral Health Services, LLC | Respite Care | 8448 E Lindner Ave, Mesa, AZ 85209-4369 | 2014-03-27 |
| 1568887016 | Red Mountain Behavioral Health Services, LLC | Respite Care | 11231 E. Segura, Mesa, AZ 85212-2427 | 2014-02-20 |
| 1902100035 | Red Mountain Behavioral Health Services, LLC | Community/Behavioral Health | 5980 S Cooper Rd Ste 3, Chandler, AZ 85249-5394 | 2011-01-04 |
| 1922283811 | Red Mountain Behavioral Health Services, LLC | Respite Care | 1320 N Vincent, Mesa, AZ 85207-4412 | 2008-01-09 |
| 1831371723 | Red Mountain Behavioral Health Services, LLC | Respite Care | 1533 S Somerset Cir, Mesa, AZ 85206-6766 | 2007-12-03 |
| 1619016045 | Red Mountain Behavioral Health Services, LLC | Respite Care | 7444 E Medina Ave, Mesa, AZ 85209-4951 | 2007-02-05 |
| 1407964745 | Red Mountain Behavioral Health Services, LLC | Respite Care | 3760 S Opal, Mesa, AZ 85212-4025 | 2006-08-28 |
| 1740397058 | Red Mountain Behavioral Health Services, LLC | Respite Care | 6661 E Hermosa Vista Dr, Mesa, AZ 85215-2207 | 2006-08-23 |
| 1477668820 | Red Mountain Behavioral Health Services, LLC | Respite Care | 7956 E Plata Ave, Mesa, AZ 85212-1531 | 2006-08-19 |
| 1760597108 | Red Mountain Behavioral Health Services, LLC | Respite Care | 11329 E Renata Cir, Ste 109, Mesa, AZ 85212-4075 | 2006-08-19 |
| Street Address |
1255 S RIALTO UNIT 124 |
| City | MESA |
| State | AZ |
| Zip Code | 85209-3779 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013539568 | Wingfoot Wellness & Hormones LLC | Nurse Practitioner | 2500 S Power Road, Building 7 Suite 218, Mesa, AZ 85209 | 2020-05-07 |
| 1558916247 | Shiny Susan Thomas | Family Medicine | 7615,east Baseline Road, Mesa, AZ 85209 | 2019-08-08 |
| 1245798933 | Premier Care Medical Services Pllc | Clinic/Center | 7363 E Naranja Ave, Mesa, AZ 85209 | 2019-03-12 |
| 1518450568 | Mhb Services | Internal Medicine | 1301 S Crismon Road, Mesa, AZ 85209 | 2018-06-13 |
| 1174012934 | Andrew Swenson | Student in an Organized Health Care Education/Training Program | 10238 E. Hampton #406, Mesa, AZ 85209 | 2018-05-08 |
| 1689196057 | Monica R Meyer | Registered Nurse | 2424 S Rowen, Mesa, AZ 85209 | 2017-07-07 |
| 1629507041 | Rachel Ann Navarro | Occupational Therapist | 10431 E Natal Ave, Mesa, AZ 85209 | 2017-06-08 |
| 1073041331 | Michelle Resendez | Nurse Practitioner | 2500 S Power Rd, Bldg 7, Ste 218, Mesa, AZ 85209 | 2017-05-31 |
| 1275069569 | Michelle Amado | Nurse Practitioner | 2500 S. Power Rd, Bldg 7, Ste 218, Mesa, AZ 85209 | 2017-05-04 |
| 1982138079 | Warren Brent Thomas | Nurse Anesthetist, Certified Registered | 10632 E Kiva Ave, Mesa, AZ 85209 | 2017-04-14 |
| Find all providers in zip 85209 | ||||
| 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.