TBM MENTAL HEALTH LLC
NPI 1093167108
Counselor - Mental Health in Glendale, AZ

Active since July 13, 2016
17431 N 71ST DR, SUITE 104, GLENDALE, AZ 85308(480) 521-6586 Get Directions Write a Review

NPPES record last updated: July 13, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Tbm Mental Health Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TBM MENTAL HEALTH LLC (NPI 1093167108) is a healthcare organization registered as a mental health in Glendale, Arizona and active in the NPI registry since July 2016. The organization lists Timothy Miller, Mbr, as its authorized official.

NPPES Registry Identity

NPI1093167108
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameTBM MENTAL HEALTH LLC
Location Address17431 N 71ST DR, SUITE 104Glendale, AZ 85308-8598
Mailing Address17431 N 71st Dr, Suite 104Glendale, AZ 85308-8598 · (480) 521-6586
Organization SubpartNo
Authorized OfficialTimothy MillerMbr · (480) 521-6586
Enumeration DateJuly 13, 2016
✔ NPI 1093167108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in AZ · RN1348
17431 N 71ST DR, Glendale, AZ 85308

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tbm Mental Health Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Tbm Mental Health LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Nurse Practitioner
NPI 1336500339
17431 N 71ST DR SUITE 103
Glendale, AZ 85308
(480) 521-6586
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1700866852
17431 N 71ST DR STE 103
Glendale, AZ 85308
(480) 521-6586
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1972852846
12725 W INDIAN SCHOOL RD STE E101
Avondale, AZ 85392
(623) 640-7682
✔ PECOS✔ Accepts Medicare12 mi
Nurse Practitioner
NPI 1841762762
3740 BREVARD RD UNIT 216
Horse Shoe, NC 28742
(336) 515-1193
✔ PECOS✔ Accepts Medicare1,691 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tbm Mental Health LLC's NPI number?

The NPI number for Tbm Mental Health LLC is 1093167108. It was assigned to this organization in the NPPES registry on July 13, 2016.

Where is Tbm Mental Health LLC located?

Tbm Mental Health LLC is located at 17431 N 71st Dr Suite 104, Glendale, AZ 85308. The listed phone number is (480) 521-6586.

What is Tbm Mental Health LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Tbm Mental Health LLC enrolled in Medicare?

Yes. Tbm Mental Health LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Tbm Mental Health LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Tbm Mental Health LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Tbm Mental Health LLC was last updated on July 13, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.