CHOLLA BEHAVIORAL HEALTH
NPI 1285346536
Clinic/Center - Mental Health (Including Community Mental Health Center) in Phoenix, AZ

Q: What is Cholla Behavioral Health LLC's NPI number?

The NPI number for Cholla Behavioral Health LLC is 1285346536. It was assigned to this organization in the NPPES registry on December 19, 2022. The provider is doing business as Cholla Behavioral Health.

Q: What is Cholla Behavioral Health LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Active since December 19, 2022CLIA 03D2289394 · Waiver

9201 N 25TH AVE STE 185, PHOENIX, AZ 85021(602) 686-5779 Get Directions Write a Review

NPPES record last updated: May 25, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 25, 2023, Dec 19, 2022 (2 updates tracked since 2022).

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About Cholla Behavioral Health NPPES

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

CHOLLA BEHAVIORAL HEALTH (NPI 1285346536) is a healthcare organization registered as a mental health (including community mental health center) in Phoenix, Arizona and active in the NPI registry since December 2022. The organization holds a CLIA Waiver certificate valid through September 10, 2027 and lists Jericho Chebultz, Ceo, as its authorized official.

NPPES Registry Identity

NPI1285346536

Entity TypeOrganization

Primary Taxonomy261QM0801X

Legal Business NameCHOLLA BEHAVIORAL HEALTH LLC

Location Address9201 N 25TH AVE STE 185Phoenix, AZ 85021-2717

Mailing Address2020 W Union Hills Dr Unit 215Phoenix, AZ 85027-5816 · (602) 686-5779

Phone(602) 686-5779

Organization SubpartNo

Authorized OfficialJericho ChebultzCeo · (602) 686-5779

Enumeration DateDecember 19, 2022

Last NPPES UpdateMay 25, 20232 updates tracked since enumeration

NPPES CertifiedMay 25, 2023

✔ NPI 1285346536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities

Taxonomy Code261QM0801X

Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X

9201 N 25TH AVE STE 185, Phoenix, AZ 85021

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Other Names 1

Doing Business AsCholla Behavioral Health

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.Insurance ›

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 03D2289394

Cholla Behavioral Health · Phoenix, AZ

Active · expires Sep 10, 2027

CLIA Number03D2289394

Laboratory TypeCommunity Clinic

Certificate Effective DateSeptember 11, 2025

Certificate Expiration DateSeptember 10, 2027

Laboratory DirectorKatherine Nisbet

Laboratory Phone(602) 688-5779

Laboratory LocationCholla Behavioral Health9201 N 25th Ave Ste 185, Phoenix, AZ 85021

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

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 Cholla Behavioral Health LLC's NPI number?

The NPI number for Cholla Behavioral Health LLC is 1285346536. It was assigned to this organization in the NPPES registry on December 19, 2022. The provider is doing business as Cholla Behavioral Health.

Where is Cholla Behavioral Health LLC located?

Cholla Behavioral Health LLC is located at 9201 N 25th Ave Ste 185, Phoenix, AZ 85021. The listed phone number is (602) 686-5779.

What is Cholla Behavioral Health LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Does Cholla Behavioral Health LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2289394) is associated with this NPI, valid through September 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Cholla Behavioral Health LLC accept?

Health plans from Blue Cross Blue Shield of Arizona list Cholla Behavioral Health LLC 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 Cholla Behavioral Health LLC was last updated on May 25, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.