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BALANCED MENTAL HEALTH OF ARIZONA
NPI 1366211971
Nurse Practitioner - Psychiatric/Mental Health in Goodyear, AZ

Active since December 22, 2023
14122 W MCDOWELL RD STE 203, GOODYEAR, AZ 85395(623) 349-1711(623) 399-1958 Get Directions Write a Review

NPPES record last updated: June 2, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Balanced Mental Health Of Arizona NPPES

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

BALANCED MENTAL HEALTH OF ARIZONA (NPI 1366211971) is a healthcare organization registered as a psychiatric/mental health in Goodyear, Arizona and active in the NPI registry since December 2023. The organization lists Jennifer Jane Peterson, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1366211971
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameBALANCED MENTAL HEALTH OF ARIZONA
Location Address14122 W MCDOWELL RD STE 203Goodyear, AZ 85395-2505
Mailing Address14122 W Mcdowell Rd Ste 203Goodyear, AZ 85395-2505 · (623) 349-1711 · Fax (623) 399-1958
Phone(623) 349-1711
Fax(623) 399-1958
Organization SubpartNo
Authorized OfficialJennifer Jane PetersonChief Executive Officer · (623) 205-3505
Enumeration DateDecember 22, 2023
Last NPPES UpdateJune 2, 2026
NPPES CertifiedJune 2, 2026
✔ NPI 1366211971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
14122 W MCDOWELL RD STE 203, Goodyear, AZ 85395
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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 and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Balanced Mental Health Of Arizona is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Balanced Mental Health Of Arizona, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Michelle North, PMHNP
Nurse Practitioner
NPI 1619374543
14122 W MCDOWELL RD STE 203
Goodyear, AZ 85395
(623) 349-1711
✔ PECOS✔ Accepts MedicareSame address
Jennifer Peterson, PMHNP-BC
Nurse Practitioner
NPI 1427510437
14122 W MCDOWELL RD STE 203
Goodyear, AZ 85395
(623) 349-1711
✔ PECOS✔ Accepts MedicareSame address
Daniel Rios Garcia, NP
Nurse Practitioner
NPI 1336029230
9520 W THOMAS RD 100
Phoenix, AZ 85037
(602) 610-1191
✔ PECOS✔ Accepts Medicare5.6 mi

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 Balanced Mental Health Of Arizona's NPI number?

The NPI number for Balanced Mental Health Of Arizona is 1366211971. It was assigned to this organization in the NPPES registry on December 22, 2023.

Where is Balanced Mental Health Of Arizona located?

Balanced Mental Health Of Arizona is located at 14122 W Mcdowell Rd Ste 203, Goodyear, AZ 85395. The listed phone number is (623) 349-1711.

What is Balanced Mental Health Of Arizona's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Balanced Mental Health Of Arizona enrolled in Medicare?

Yes. Balanced Mental Health Of Arizona is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Balanced Mental Health Of Arizona?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Balanced Mental Health Of Arizona. 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 and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Balanced Mental Health Of Arizona was last updated on June 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.