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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

UNLOCKED SELF COUNSELING PLLC
NPI 1417868795
Counselor - Mental Health in Mesa, AZ

Active since September 15, 2026
4115 E VALLEY AUTO DR STE 104, MESA, AZ 85206(623) 216-7320 Get Directions Write a Review

NPPES record added: September 21, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Sep 21, 2026, Sep 15, 2026 (2 updates tracked since 2026).

About Unlocked Self Counseling Pllc NPPES

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

UNLOCKED SELF COUNSELING PLLC (NPI 1417868795) is a healthcare organization registered as a mental health in Mesa, Arizona and active in the NPI registry since September 2026. The organization lists Jeremy Gwizdalski, Owner, as its authorized official.

NPPES Registry Identity

NPI1417868795
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameUNLOCKED SELF COUNSELING PLLC
Location Address4115 E VALLEY AUTO DR STE 104Mesa, AZ 85206-4610
Mailing Address4115 E Valley Auto Dr Ste 104, Suite 104Mesa, AZ 85206-4610 · (623) 216-7320
Phone(623) 216-7320
Organization SubpartNo
Authorized OfficialJeremy GwizdalskiOwner · (623) 216-7320
Enumeration DateSeptember 15, 2026
Last NPPES UpdateSeptember 21, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 21, 2026
✔ NPI 1417868795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
4115 E VALLEY AUTO DR STE 104, Mesa, AZ 85206
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RICHARD BERG
Counselor (Mental Health)
4115 E VALLEY AUTO DR STE 104
MESA, AZ 85206
Maricopa County No phone listed
BROOKE HOEFERLE LAC
Counselor (Mental Health)
4115 E VALLEY AUTO DR STE 104
MESA, AZ 85206
Maricopa County (623) 216-7320

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 Unlocked Self Counseling PLLC's NPI number?

The NPI number for Unlocked Self Counseling PLLC is 1417868795. It was assigned to this organization in the NPPES registry on September 15, 2026.

Where is Unlocked Self Counseling PLLC located?

Unlocked Self Counseling PLLC is located at 4115 E Valley Auto Dr Ste 104, Mesa, AZ 85206. The listed phone number is (623) 216-7320.

What is Unlocked Self Counseling PLLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Unlocked Self Counseling PLLC was last updated on September 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days 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.