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AJ SOUTHWEST VENTURES INC
NPI 1164233417
Marriage & Family Therapist in Tempe, AZ

Active since January 16, 2025CLIA 03D2318273 · Waiver
3920 S RURAL RD STE 112, TEMPE, AZ 85282(480) 674-9220(480) 674-9231 Get Directions Write a Review

NPPES record last updated: September 4, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 4, 2025, Feb 18, 2025 (2 updates tracked since 2025).

About Aj Southwest Ventures Inc NPPES

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

AJ SOUTHWEST VENTURES INC (NPI 1164233417), doing business as Revibe Mental Health, is a healthcare organization registered as a marriage & family therapist in Tempe, Arizona and active in the NPI registry since January 2025. The organization holds a CLIA Waiver certificate valid through February 6, 2027 and lists Allyson Fernstrom, Owner, as its authorized official.

NPPES Registry Identity

NPI1164233417
Entity TypeOrganization
Primary Taxonomy106H00000X
Legal Business NameAJ SOUTHWEST VENTURES INC
Location Address3920 S RURAL RD STE 112Tempe, AZ 85282-5500
Mailing Address3920 S Rural Rd Ste 112Tempe, AZ 85282-5500 · (480) 674-9220 · Fax (480) 674-9231
Phone(480) 674-9220
Fax(480) 674-9231
Organization SubpartNo
Authorized OfficialAllyson FernstromOwner · (602) 502-3806
Enumeration DateJanuary 16, 2025
Last NPPES UpdateSeptember 4, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 4, 2025
✔ NPI 1164233417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
3920 S RURAL RD STE 112, Tempe, AZ 85282
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Other Names 2

Doing Business AsRevibe Mental Health
Doing Business AsRevibe Mental Health Tempe

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 03D2318273

Aj Southwest Ventures, Inc Dba Revibe Mental Health · Tempe, AZ
Active · expires Feb 6, 2027
CLIA Number03D2318273
Laboratory TypePhysician Office
Certificate Effective DateFebruary 7, 2025
Certificate Expiration DateFebruary 6, 2027
Laboratory DirectorAllyson Fernstrom
Laboratory Phone(480) 428-2944
Laboratory LocationAj Southwest Ventures, Inc Dba Revibe Mental Health3920 S Rural Rd Ste 112, Tempe, AZ 85282
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 16

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

DEBORAH KOVALESKI MA, LPC
Counselor (Professional)
3920 S RURAL RD STE 112
TEMPE, AZ 85282
Maricopa County (480) 428-2944
MRS. AMBER DANCE LAC
Counselor (Mental Health)
3920 S RURAL RD STE 112
TEMPE, AZ 85282
Maricopa County (480) 428-2944
MICHELLE REIJONEN PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
3920 S RURAL RD STE 112
TEMPE, AZ 85282
Maricopa County (480) 674-9220
MR. JEFFREY RAY FULKERSON M ED, MS, LAC, LPC
Counselor (Professional)
3920 S RURAL RD STE 112
TEMPE, AZ 85282
Maricopa County (480) 428-2944
ABBY BAILLY MSW, LCSW
Social Worker (Clinical)
3920 S RURAL RD STE 112
TEMPE, AZ 85282
Maricopa County (480) 808-3672
MR. PAUL K. GIBSON MC, LMFT
Marriage & Family Therapist
3920 S RURAL RD STE 112
TEMPE, AZ 85282
Maricopa County (480) 428-2944
MICHAEL SHUMWAY LAC
Counselor
3920 S RURAL RD STE 112
TEMPE, AZ 85282
Maricopa County (480) 428-2944
ASHLEY FRANCHETTO LPC
Counselor (Professional)
3920 S RURAL RD STE 112
TEMPE, AZ 85282
Maricopa County (480) 428-2944

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 Aj Southwest Ventures Inc's NPI number?

The NPI number for Aj Southwest Ventures Inc is 1164233417. It was assigned to this organization in the NPPES registry on January 16, 2025. The provider is doing business as reVIBE Mental Health and reVIBE Mental Health Tempe.

Where is Aj Southwest Ventures Inc located?

Aj Southwest Ventures Inc is located at 3920 S Rural Rd Ste 112, Tempe, AZ 85282. The listed phone number is (480) 674-9220.

What is Aj Southwest Ventures Inc's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Does Aj Southwest Ventures Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2318273) is associated with this NPI, valid through February 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Aj Southwest Ventures Inc was last updated on September 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.