EMPACT - SUICIDE PREVENTION CENTER (NPI# 1255881579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255881579 |
| Entity Type | Organization |
| Organization Name | EMPACT - SUICIDE PREVENTION CENTER |
| Practice Address |
11518 E Apache Trl #129 Apache Junction AZ 85120-3551 |
| Mailing Address |
618 S Madison Dr Tempe AZ 85281-7248 |
| Practice Telephone | 4807841514 |
| Practice Fax Number | 4809673528 |
| Mailing Telephone | 4807841514 |
| Enumeration Date | 2016-10-11 |
| Last Update Date | 2016-10-11 |
| Authorized Official Name | MS. LAURA LARSON-HUFFAKER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4807841514 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | AZ | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164972485 | Empact - Suicide Prevention Center | Community/Behavioral Health | 914 S 52nd St, Tempe, AZ 85281-9500 | 2016-10-11 |
| 1073911293 | Empact - Suicide Prevention Center | Community/Behavioral Health | 21476 N John Wayne Pkwy, Suite C101, Maricopa, AZ 85139-8983 | 2014-12-22 |
| 1477715803 | Empact - Suicide Prevention Center | Community/Behavioral Health | 21476 N. John Wayne Parkway, Suite # C101, C103, C104, Maricopa, AZ 85139-8983 | 2008-06-26 |
| 1255940649 | Empact - Suicide Prevention Center | Community Based Residential Treatment Facility, Mental Illness | 108 E 2nd Ave, Mesa, AZ 85210-1410 | 2020-07-30 |
| 1194245449 | Empact - Suicide Prevention Center | Community/Behavioral Health | 618 S Madison Dr, Tempe, AZ 85281-7248 | 2017-06-27 |
| 1114462306 | Empact - Suicide Prevention Center | Community/Behavioral Health | 11518 E Apache Trl, #129, Apache Junction, AZ 85120-3551 | 2016-12-27 |
| 1023553211 | Empact - Suicide Prevention Center | Community/Behavioral Health | 618 S Madison Dr, Tempe, AZ 85281-7248 | 2016-12-27 |
| 1437694767 | Empact - Suicide Prevention Center | Community/Behavioral Health | 618 S Madison Dr, Tempe, AZ 85281-7248 | 2016-12-22 |
| 1093259301 | Empact - Suicide Prevention Center | Community/Behavioral Health | 2474 E Hunt Hwy, #100, San Tan Valley, AZ 85143-5210 | 2016-12-06 |
| 1831565282 | Empact - Suicide Prevention Center | Community/Behavioral Health | 1035 E Jefferson St, Phoenix, AZ 85034-2295 | 2015-08-19 |
| Street Address |
11518 E APACHE TRL #129 |
| City | APACHE JUNCTION |
| State | AZ |
| Zip Code | 85120-3551 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639262165 | Michael Perry Morris | Chiropractor | 11518 E Apache Trl, 119, Apache Junction, AZ 85120-3551 | 2006-10-02 |
| 1114462306 | Empact - Suicide Prevention Center | Community/Behavioral Health | 11518 E Apache Trl, #129, Apache Junction, AZ 85120-3551 | 2016-12-27 |
| 1558701433 | Balancing Act Physical Therapy, LLC | Specialist | 11518 E Apache Trl, 116, Apache Junction, AZ 85120-3551 | 2013-06-25 |
| 1639359581 | M. Morris Family Wellness Center, P.C. | Chiropractor | 11518 E Apache Trl, #119, Apache Junction, AZ 85220-3551 | 2007-11-08 |
| 1679602601 | David V Curtis | Clinic/Center | 11518 E Apache Trl, Suite 116, Apache Junction, AZ 85220-3551 | 2007-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437709508 | Azmo Medical Services, LLC | General Practice | 212 West Superstition Boulevard, # 101, Apache Junction, AZ 85120 | 2019-09-19 |
| 1902359771 | Fawn Boonstra | Dietitian, Registered | 99 S. Gold Dr. Suite 5, Goldfield Cardiovascular Institute, Apache Junction, AZ 85120 | 2016-07-28 |
| 1407104110 | Catherine Pagayonan Araza | Pharmacist | 11545 E Apache Trail, Apache Junction, AZ 85120 | 2012-08-28 |
| 1871868992 | Gilbert Unified School Dist | Local Education Agency (LEA) | 1370 W Montebello Ave, Apache Junction, AZ 85120 | 2012-03-22 |
| 1275758971 | Sharon L Paul | Psychiatry & Neurology | 2066 W. Apache Trail, Suite 112, Apache Junction, AZ 85120 | 2007-04-16 |
| 1649397696 | Charles A. Garon | Social Worker | 625 N. Plaza Dr, Apache Junction, AZ 85120 | 2007-03-23 |
| 1942239900 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 3185 W Apache Trl, Apache Junction, AZ 85120 | 2006-07-02 |
| 1144617812 | Katelyn Geyer | Family Medicine | 2080 W Southern Ave Bldg B10, Apache Junction, AZ 85120 | 2015-04-21 |
| 1982788899 | Arthur Y Chou | Psychiatry & Neurology | 625 N Plaza Dr, Apache Junction, AZ 85120 | 2006-10-25 |
| 1720022346 | Skyline Physical Therapy Aquatics and Rehab Specialists | Physical Therapist | 10241 E Apache Trl, Apache Junction, AZ 85120-3203 | 2006-06-15 |
| Find all providers in zip 85120 | ||||
| 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 |
|---|---|---|---|---|
| 1447851837 | Laws of Mindful Healing | Community/Behavioral Health | 3717 S Chaparral Rd, Apache Junction, AZ 85119-3608 | 2020-11-03 |
| 1174131056 | Building Blocks Counseling,llc | Community/Behavioral Health | 150 N Ocotillo Dr Bldg 2, Apache Junction, AZ 85120-3740 | 2020-07-16 |
| 1326507054 | Helping Ourselves Pursue Enrichment, Inc. | Community/Behavioral Health | 2066 W Apache Trl Ste 111, Apache Junction, AZ 85120-3733 | 2019-03-12 |
| 1619236478 | Horizon Health and Wellness, Inc. | Community/Behavioral Health | 447 E Broadway Ave Bldg B, Apache Junction, AZ 85119-5204 | 2012-05-14 |
| 1255698817 | A.b.l.e. Kids Az | Community/Behavioral Health | 1075 S Idaho Rd Ste 210b, Apache Junction, AZ 85119-6405 | 2012-04-19 |
| 1720393069 | Smmhc, Inc. | Community/Behavioral Health | 2525 S Ironwood Dr Rm 291, Apache Junction, AZ 85120-7100 | 2010-08-11 |
| 1538471354 | Smmhc, Inc. | Community/Behavioral Health | 564 N Idaho Rd #9, Apache Junction, AZ 85117 | 2010-07-09 |
| 1033443130 | Horizon Health and Wellness, Inc. | Community/Behavioral Health | 447 E Broadway Ave, Apache Junction, AZ 85119-5204 | 2009-09-23 |
| 1821220997 | Zarephath Inc. | Community/Behavioral Health | 1701 S Cactus Rd, Apache Junction, AZ 85219-7730 | 2009-08-21 |
| 1336210384 | Triple R Behavioral Health, Inc. | Community/Behavioral Health | 725 W Apache Trl, #10, Apache Junction, AZ 85220-3958 | 2006-11-13 |
| Find all providers in APACHE JUNCTION | ||||
| City | APACHE JUNCTION |
| Zip Code | 85120 |
Please comment or provide details below to improve the information on EMPACT - SUICIDE PREVENTION CENTER.
| 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.