MR. THEMBANI TIMOTHY HLAZO-THREADGILL
NPI 1184553042
Counselor - Professional in Glendale, AZ

Active since May 18, 2026PECOS EnrolledAccepts Medicare Assignment
6040 W CROCUS DR, GLENDALE, AZ 85306(623) 640-3105 Get Directions Write a Review

NPPES record last updated: August 6, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 6, 2026, May 18, 2026 (2 updates tracked since 2026).

About Mr. Thembani Timothy Hlazo-threadgill NPPES

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

MR. THEMBANI TIMOTHY HLAZO-THREADGILL (NPI 1184553042) is an individual professional provider in Glendale, Arizona, licensed in Arizona (LPC-24760) and active in the NPI registry since May 2026. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1184553042
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. THEMBANI TIMOTHY HLAZO-THREADGILL
Location Address6040 W CROCUS DRGlendale, AZ 85306-4137
Mailing Address6040 W Crocus DrGlendale, AZ 85306-4137 · (623) 640-3105
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateMay 18, 2026
Last NPPES UpdateAugust 6, 20262 updates tracked since enumeration
NPPES CertifiedAugust 6, 2026
✔ NPI 1184553042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in AZ · LPC-24760
6040 W CROCUS DR, Glendale, AZ 85306

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

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Thembani Timothy Hlazo-threadgill is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2860964947
PECOS Enrollment IDI20260619000845
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Thembani Hlazo-threadgill reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Psychiatry
1631 W BURNSIDE TRL
Phoenix, AZ 85085
  • Reassigned Medicare billing, Arizona enrollment
  • 10 clinicians in this Medicare group

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

Other Providers at the Same Location NPPES

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

Counselor (Professional)
6040 W CROCUS DR
GLENDALE, AZ 85306

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 Thembani Hlazo-threadgill's NPI number?

The NPI number for Thembani Hlazo-threadgill is 1184553042. It was assigned to this individual provider in the NPPES registry on May 18, 2026.

Where is Thembani Hlazo-threadgill located?

Thembani Hlazo-threadgill practices at 6040 W Crocus Dr, Glendale, AZ 85306. The listed phone number is (623) 640-3105.

What is Thembani Hlazo-threadgill's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Thembani Hlazo-threadgill enrolled in Medicare?

Yes. Thembani Hlazo-threadgill is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Thembani Hlazo-threadgill's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thembani Hlazo-threadgill reassigns Medicare benefits to Paramount Behavioral Health Services PLLC (Phoenix, AZ). The 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 Thembani Hlazo-threadgill's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Thembani Hlazo-threadgill accept?

Health plans from UnitedHealthcare list Thembani Hlazo-threadgill 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 Thembani Hlazo-threadgill was last updated on August 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.