INTENTIONAL HEALING LLC
NPI 1215785787
Nurse Practitioner - Psychiatric/Mental Health in Gilbert, AZ
About Intentional Healing Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
INTENTIONAL HEALING LLC (NPI 1215785787) is a healthcare organization registered as a psychiatric/mental health in Gilbert, Arizona and active in the NPI registry since May 2024. The organization lists Laura Porter, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Intentional Healing Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Intentional Healing LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (3)
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 Intentional Healing LLC's NPI number?
The NPI number for Intentional Healing LLC is 1215785787. It was assigned to this organization in the NPPES registry on May 9, 2024.
Where is Intentional Healing LLC located?
Intentional Healing LLC is located at 1166 E Warner Rd Ste 113, Gilbert, AZ 85296. The listed phone number is (480) 815-7311.
What is Intentional Healing LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Intentional Healing LLC enrolled in Medicare?
Yes. Intentional Healing LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Intentional Healing LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Intentional 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Intentional Healing LLC was last updated on January 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.
# Intentional Healing Llc · NPI 1215785787
Psychiatric/Mental Health organization in Gilbert, Arizona. Organization record, active in the CMS NPPES registry since May 9, 2024.
## Identity
- **NPI:** 1215785787 (Entity type: Organization)
- **Enumerated:** May 9, 2024
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** No
- **Authorized official:** Laura Porter, CEO
## Practice location
- **Address:** 1166 E WARNER RD STE 113, Gilbert, AZ 85296-3065
- **Phone:** (480) 815-7311
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 28, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1215785787) · Data from the CMS NPPES public registry.