DESTINY SPRINGS HEALTHCARE, LLC
NPI 1114511037
Clinic/Center - Mental Health (Including Community Mental Health Center) in Surprise, AZ

Active since February 22, 2021CLIA 03D2154185 · Waiver
17300 N DYSART RD, SURPRISE, AZ 85378(623) 233-3000 Get Directions Write a Review

NPPES record last updated: October 30, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Destiny Springs Healthcare, Llc NPPES

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

DESTINY SPRINGS HEALTHCARE, LLC (NPI 1114511037) is a healthcare organization registered as a mental health (including community mental health center) in Surprise, Arizona and active in the NPI registry since February 2021. The organization holds a CLIA Waiver certificate valid through September 6, 2026 and lists David Carnahan, Ceo, as its authorized official.

NPPES Registry Identity

NPI1114511037
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameDESTINY SPRINGS HEALTHCARE, LLC
Location Address17300 N DYSART RDSurprise, AZ 85378-4501
Mailing Address17300 N Dysart RdSurprise, AZ 85378-4501 · (160) 271-4332
Organization SubpartYes
Authorized OfficialDavid CarnahanCeo · (623) 233-3000
Enumeration DateFebruary 22, 2021
Last NPPES UpdateOctober 30, 2025
NPPES CertifiedOctober 30, 2025
NPI 1114511037 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
17300 N DYSART RD, Surprise, AZ 85378

Other Names 1

Other NameDestiny Springs Healthcare, Llc

Other Identifiers 1

Medicaid546229AZ

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D2154185

Destiny Springs Healthcare · Surprise, AZ
Active · expires Sep 6, 2026
CLIA Number03D2154185
Laboratory TypeSpecialty Hospital - Bh
Certificate Effective DateSeptember 7, 2024
Certificate Expiration DateSeptember 6, 2026
Laboratory DirectorGregory Carr
Laboratory Phone(623) 233-2000
Laboratory LocationDestiny Springs Healthcare17300 N Dysart Rd, Surprise, AZ 85378
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse
17300 N DYSART RD
SURPRISE, AZ 85378
Registered Nurse (Psychiatric/Mental Health)
17300 N DYSART RD
SURPRISE, AZ 85378
Counselor (Professional)
17300 N DYSART RD
SURPRISE, AZ 85378
Psychiatric Hospital
17300 N DYSART RD
SURPRISE, AZ 85378
Counselor (Professional)
17300 N DYSART RD
SURPRISE, AZ 85378
Counselor (Mental Health)
17300 N DYSART RD
SURPRISE, AZ 85378
Counselor (Mental Health)
17300 N DYSART RD
SURPRISE, AZ 85378
Counselor (Mental Health)
17300 N DYSART RD
SURPRISE, AZ 85378

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 Destiny Springs Healthcare, LLC's NPI number?

The NPI number for Destiny Springs Healthcare, LLC is 1114511037. It was assigned to this organization in the NPPES registry on February 22, 2021.

Where is Destiny Springs Healthcare, LLC located?

Destiny Springs Healthcare, LLC is located at 17300 N Dysart Rd, Surprise, AZ 85378. The listed phone number is (623) 233-3000.

What is Destiny Springs Healthcare, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Does Destiny Springs Healthcare, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2154185) is associated with this NPI, valid through September 6, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Destiny Springs Healthcare, LLC accept?

Health plans from Ambetter from Arizona Complete Health list Destiny Springs Healthcare, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Destiny Springs Healthcare, LLC was last updated on October 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.