1. Home
  2. Directory
  3. Arizona
  4. Mesa
  5. Clinic Center
  6. NPI Profile

FOUNDATION FOR HEALING, LLC
NPI 1205325198
Clinic/Center - Multi-Specialty in Mesa, AZ

Active since May 07, 2018
4111 E VALLEY AUTO DR STE 201, MESA, AZ 85206(480) 608-5250(480) 608-5251 Get Directions Write a Review

NPPES record last updated: November 10, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 10, 2025, Jun 16, 2018, May 7, 2018 (3 updates tracked since 2018).

About Foundation For Healing, Llc NPPES

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

FOUNDATION FOR HEALING, LLC (NPI 1205325198) is a healthcare organization registered as a multi-specialty in Mesa, Arizona and active in the NPI registry since May 2018. The organization maintains a secondary practice location in Gilbert and lists Deborah M. Johansen, Clinical Director, as its authorized official.

NPPES Registry Identity

NPI1205325198
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameFOUNDATION FOR HEALING, LLC
Location Address4111 E VALLEY AUTO DR STE 201Mesa, AZ 85206-4609
Mailing Address4111 E Valley Auto Dr Ste 201Mesa, AZ 85206-4609 · (480) 608-5250 · Fax (480) 608-5251
Phone(480) 608-5250
Fax(480) 608-5251
Organization SubpartNo
Authorized OfficialDeborah M. JohansenClinical Director · (480) 608-5250
Enumeration DateMay 7, 2018
Last NPPES UpdateNovember 10, 20253 updates tracked since enumeration
NPPES CertifiedNovember 10, 2025
✔ NPI 1205325198 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X · License LPC-14026 (AZ)
4111 E VALLEY AUTO DR STE 201, Mesa, AZ 85206
Open in Google Maps ↗

Secondary Practice Location 1

Location 114325 E BUFFALO STGILBERT, AZ 85295-5907 · Phone (480) 608-5250 · Fax (480) 608-5251

Other Identifiers 2

Medicaid273868AZ
Other1417409483AZ · Npi

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Foundation For Healing, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Foundation For Healing, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Deborah Johansen, LPC, CLINICAL SUP.
Mental Health Counselor
NPI 1417409483
4111 E VALLEY AUTO DR STE 201
Mesa, AZ 85206
(480) 608-5250
✔ PECOSSame address

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

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 Foundation For Healing, LLC's NPI number?

The NPI number for Foundation For Healing, LLC is 1205325198. It was assigned to this organization in the NPPES registry on May 7, 2018.

Where is Foundation For Healing, LLC located?

Foundation For Healing, LLC is located at 4111 E Valley Auto Dr Ste 201, Mesa, AZ 85206. The listed phone number is (480) 608-5250.

What is Foundation For Healing, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Is Foundation For Healing, LLC enrolled in Medicare?

Yes. Foundation For Healing, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Foundation For Healing, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Foundation For Healing, LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Foundation For Healing, LLC was last updated on November 10, 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.