BANNER TELEHEALTH LLC
NPI 1396492005
Clinic/Center - Mental Health (Including Community Mental Health Center) in Scottsdale, AZ
About Banner Telehealth Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BANNER TELEHEALTH LLC (NPI 1396492005) is a healthcare organization registered as a mental health (including community mental health center) in Scottsdale, Arizona and active in the NPI registry since March 2022. The organization holds 3 active CLIA laboratory certificates, maintains 17 additional practice locations, and lists Todd Werner, Division President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Locations 17
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Banner Telehealth Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
13Medicare enrollment records show 13 clinicians reassign Medicare billing to Banner Telehealth LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 11 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 2
Clinicians, nearest first (13)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA 3
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 Accreditation 03D2194279
Banner Health Dba Banner Ocotillo Medical Center - Blood Gases · Chandler, AZCertificate of Accreditation 03D2194483
Banner Health Dba Banner Ocotillo Medical Center - Main Lab · Chandler, AZCertificate of Accreditation 03D2194970
Banner Health Dba Banner Ocotillo Medical Center - Poct · Chandler, AZFrequently 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 Banner Telehealth LLC's NPI number?
The NPI number for Banner Telehealth LLC is 1396492005. It was assigned to this organization in the NPPES registry on March 3, 2022.
Where is Banner Telehealth LLC located?
Banner Telehealth LLC is located at 7575 E Earll Dr Ste 101, Scottsdale, AZ 85251. The listed phone number is (480) 684-8345.
What is Banner Telehealth 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.
Is Banner Telehealth LLC enrolled in Medicare?
Yes. Banner Telehealth LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Banner Telehealth LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians in 2 Medicare specialties reassign their Medicare billing to Banner Telehealth 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. The largest specialties are Clinical Social Worker (12) and Mental Health Counselor (1). Of these, 2 practice at this address and 11 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Banner Telehealth LLC hold CLIA laboratory certificates?
Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
What insurance does Banner Telehealth LLC accept?
Health plans from Blue Cross Blue Shield of Arizona and Oscar Health Plan, Inc. list Banner Telehealth 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 Banner Telehealth LLC was last updated on September 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Banner Telehealth Llc · NPI 1396492005
Mental Health (Including Community Mental Health Center) organization in Scottsdale, Arizona. Organization record, active in the CMS NPPES registry since March 3, 2022.
## Identity
- **NPI:** 1396492005 (Entity type: Organization)
- **Enumerated:** March 3, 2022
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Organization subpart:** Yes (part of Banner Health)
- **Authorized official:** Todd Werner, DIVISION PRESIDENT
## Practice location
- **Address:** 7575 E EARLL DR STE 101, Scottsdale, AZ 85251-6915
- **Phone:** (480) 684-8345 · **Fax:** (480) 412-5477
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 13 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Clinical Social Worker (12), Mental Health Counselor (1); 2 practice at this address and 11 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 2, 2025
- **CLIA laboratory certificates:** 3 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1396492005) · Data from the CMS NPPES public registry.