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

Active since May 18, 2026PECOS Enrolled
31 W MARYLAND AVE, PHOENIX, AZ 85013(602) 265-7484 Get Directions Write a Review

NPPES record last updated: May 18, 2026. Verified against the NPPES registry weekly; last sync: August 02, 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 Phoenix, Arizona, licensed in Arizona (LPC-24760) and active in the NPI registry since May 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184553042
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. THEMBANI TIMOTHY HLAZO-THREADGILL
Location Address31 W MARYLAND AVEPhoenix, AZ 85013-1227
Mailing Address6040 W Crocus DrGlendale, AZ 85306-4137 · (623) 640-3105
Phone(602) 265-7484
Sole ProprietorYes
Enumeration DateMay 18, 2026
NPPES CertifiedMay 17, 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
31 W MARYLAND AVE, Phoenix, AZ 85013
Open in Google Maps ↗

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, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Thembani Timothy Hlazo-threadgill is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 7

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

AARON LI MD
General Practice
31 W MARYLAND AVE
PHOENIX, AZ 85013
Maricopa County (310) 445-5999
WINDSOR MARYLAND GARDENS, LLC
Alzheimer Center (Dementia Center)
31 W MARYLAND AVE
PHOENIX, AZ 85013
Maricopa County (602) 265-7484
SENIOR LIVING OPTIONS MARYLAND GARDENS, LLC
Skilled Nursing Facility
31 W MARYLAND AVE
PHOENIX, AZ 85013
Maricopa County (602) 265-7484
SENIOR LIVING OPTIONS MARYLAND GARDENS, LLC
Alzheimer Center (Dementia Center)
31 W MARYLAND AVE
PHOENIX, AZ 85013
Maricopa County (602) 265-7484
MARYLAND GARDENS SNF, LLC
Assisted Living Facility
31 W MARYLAND AVE
PHOENIX, AZ 85013
Maricopa County (602) 265-7484
MARYLAND GARDENS SNF, LLC
Skilled Nursing Facility
31 W MARYLAND AVE
PHOENIX, AZ 85013
Maricopa County (602) 265-7484
WINDSOR MARYLAND GARDENS, LLC
Skilled Nursing Facility
31 W MARYLAND AVE
PHOENIX, AZ 85013
Maricopa County (602) 265-7484

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 31 W Maryland Ave, Phoenix, AZ 85013. The listed phone number is (602) 265-7484.

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 enrollment system.

When was this NPI record last updated?

The NPPES record for Thembani Hlazo-threadgill was last updated on May 18, 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.