EMPACT - SUICIDE PREVENTION CENTER (NPI# 1831565282) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831565282 |
| Entity Type | Organization |
| Organization Name | EMPACT - SUICIDE PREVENTION CENTER |
| Other Organization Name | LA FRONTERA EMPACT-SPC |
| Practice Address |
1035 E Jefferson St Phoenix AZ 85034-2295 |
| Mailing Address |
618 S Madison Dr Tempe AZ 85281-7248 |
| Practice Telephone | 6022510650 |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2015-08-19 |
| Authorized Official Name | 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 | Agencies |
| Other Name | Type Code |
|---|---|
| La Frontera EMPACT-SPC | Doing Business As Name - Organization |
| 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 |
| 1255881579 | Empact - Suicide Prevention Center | Community/Behavioral Health | 11518 E Apache Trl, #129, Apache Junction, AZ 85120-3551 | 2016-10-11 |
| Street Address |
1035 E JEFFERSON ST |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85034-2295 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215051511 | Magellan Health Services of Arizona, Inc. | Case Management | 1035 E Jefferson St, #a, Phoenix, AZ 85034-2295 | 2007-03-19 |
| 1811515901 | Peninah N Gitonga | Registered Nurse | 1035 E Jefferson St, Phoenix, AZ 85034-2295 | 2020-07-06 |
| 1033574710 | Laura Ajero | Licensed Practical Nurse | 1035 E Jefferson St, Phoenix, AZ 85034-2295 | 2015-12-22 |
| 1588056667 | Wendy Hannah Ownbey | Registered Nurse | 1035 E Jefferson St, Phoenix, AZ 85034-2295 | 2015-02-26 |
| 1437541661 | Kay Lynn Simons | Registered Nurse | 1035 E Jefferson St, Phoenix, AZ 85034-2295 | 2015-02-25 |
| 1376935569 | Deborah Jones Styer | Registered Nurse | 1035 E Jefferson St, Phoenix, AZ 85034-2295 | 2015-02-24 |
| 1265838759 | Deborah Kay Hall | Case Manager/Care Coordinator | 1035 E Jefferson St, Phoenix, AZ 85034-2295 | 2014-11-10 |
| 1356760102 | Maricopa County Special Health Care District | General Acute Care Hospital | 1035 E Jefferson St, Suite B, Phoenix, AZ 85034-2295 | 2014-04-09 |
| 1013275320 | Kevin Khuong Dang | Pharmacist | 1035 E Jefferson St, Phoenix, AZ 85034-2295 | 2012-04-25 |
| 1336383066 | People of Color Network | Clinic/Center | 1035 E Jefferson St, Phoenix, AZ 85034-2295 | 2009-04-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093208340 | Curtis James Bierscheid | Physical Therapist | 1828 E Sky Harbor Circle North, Building 2, Suite 150, Phoenix, AZ 85034 | 2018-06-12 |
| 1437654969 | Genoa Healthcare, LLC | Pharmacy | 1035 E Jefferson St Ste P1, Phoenix, AZ 85034 | 2018-03-27 |
| 1659871697 | Us Careways-phx | Clinic/Center | 3800 E Sky Harbor Blvd, Phoenix, AZ 85034 | 2018-02-16 |
| 1053854638 | Josiah Nnadozie Nwaokwa | Nurse Practitioner | 1035 E Jefferson Street, La Frontera -empact Spc, Phoenix, AZ 85034 | 2016-11-30 |
| 1568869915 | Lacee Johnson | Speech-Language Pathologist | 5025 E Washington Street, Suite 212, Phoenix, AZ 85034 | 2014-12-01 |
| 1679974406 | Jagdeep Bains | Pharmacist | 5324 E Washington St, #a, Phoenix, AZ 85034 | 2014-09-11 |
| 1275885030 | Nancy Louise Brewer | Nurse Practitioner | 3800 E Sky Harbor Blvd Fl T4, Phoenix, AZ 85034 | 2012-10-03 |
| 1386928414 | The Facts of Life Grouphome, Inc | Community/Behavioral Health | 1122 E. Buckeye Road, Phoenix, AZ 85034 | 2011-10-07 |
| 1649559832 | Us Medgroup Pa | Clinic/Center | 901 East Jefferson St, Phoenix, AZ 85034 | 2011-08-05 |
| 1689979106 | Latanya King | Counselor | 1122 East Buckeye Road, Suite B-1, Phoenix, AZ 85034 | 2011-01-13 |
| Find all providers in zip 85034 | ||||
| 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 |
|---|---|---|---|---|
| 1790384030 | Great Xpectations LLC | Community/Behavioral Health | 4014 W Christy Dr, Phoenix, AZ 85029-3958 | 2020-10-19 |
| 1386242295 | Mercy Cares LLC | Community/Behavioral Health | 2644 E Paradise Ln Apt D, Phoenix, AZ 85032-2945 | 2020-10-13 |
| 1124626080 | Beia's Families | Community/Behavioral Health | 3230 E Broadway Rd Ste C-235, Phoenix, AZ 85040-2873 | 2020-10-13 |
| 1518564442 | Infinity Groups Homes LLC | Community/Behavioral Health | 3523 E Everett Dr, Phoenix, AZ 85032-5136 | 2020-10-05 |
| 1013524230 | Civara Behavioral Health LLC | Community/Behavioral Health | 4010 W Cactus Rd, Phoenix, AZ 85029-2905 | 2020-10-01 |
| 1043827561 | Crossroads, Inc | Community/Behavioral Health | 2002 E Osborn Rd, Phoenix, AZ 85016-7236 | 2020-09-29 |
| 1043827025 | Guiding Steps Health Services, LLC | Community/Behavioral Health | 4926 E Mcdowell Rd, Phoenix, AZ 85008-4294 | 2020-09-24 |
| 1154931566 | Apex Transitional Housing Inc | Community/Behavioral Health | 13827 N 11th St, Phoenix, AZ 85022-4316 | 2020-08-01 |
| 1356959126 | Rock House Az, LLC | Community/Behavioral Health | 8650 N 35th Ave Ste 110, Phoenix, AZ 85051-3835 | 2020-07-17 |
| 1215554902 | Lydia Barton | Community/Behavioral Health | 1420 W Missouri Ave, Phoenix, AZ 85013-1919 | 2020-06-29 |
| Find all providers in PHOENIX | ||||
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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.