IMMANUEL BEHAVIORAL HEALTH COUNSELING CLINIC
NPI 1104495084
Clinic/Center in Peoria, AZ

Q: What is Immanuel Behavioral Health Counseling Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since June 23, 2021

11301 N 99TH AVE STE 5120, PEORIA, AZ 85345(623) 876-6379(623) 876-6379 Get Directions Write a Review

NPPES record last updated: April 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Immanuel Behavioral Health Counseling Clinic NPPES

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

IMMANUEL BEHAVIORAL HEALTH COUNSELING CLINIC (NPI 1104495084) is a healthcare organization registered as a clinic/center in Peoria, Arizona and active in the NPI registry since June 2021. The organization lists Brenda Kay Pierce, Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1104495084

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameIMMANUEL BEHAVIORAL HEALTH COUNSELING CLINIC

Location Address11301 N 99TH AVE STE 5120Peoria, AZ 85345-5485

Mailing Address11301 N 99th Ave Ste 5120Peoria, AZ 85345-5485 · (623) 876-6379 · Fax (623) 876-6379

Phone(623) 876-6379

Fax(623) 876-6379

Organization SubpartYesParent: 15856

Authorized OfficialBrenda Kay PierceChief Operating Officer · (623) 738-8549

Enumeration DateJune 23, 2021

Last NPPES UpdateApril 27, 2023

NPPES CertifiedApril 27, 2023

✔ NPI 1104495084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

11301 N 99TH AVE STE 5120, Peoria, AZ 85345

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Other Identifiers 1

Medicaid447591AZ

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 Immanuel Behavioral Health Counseling Clinic's NPI number?

The NPI number for Immanuel Behavioral Health Counseling Clinic is 1104495084. It was assigned to this organization in the NPPES registry on June 23, 2021.

Where is Immanuel Behavioral Health Counseling Clinic located?

Immanuel Behavioral Health Counseling Clinic is located at 11301 N 99th Ave Ste 5120, Peoria, AZ 85345. The listed phone number is (623) 876-6379.

What is Immanuel Behavioral Health Counseling Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Immanuel Behavioral Health Counseling Clinic was last updated on April 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.