AGAVE CENTER FOR BEHAVIORAL HEALTH PLLC
NPI 1528796596
Marriage & Family Therapist in Mesa, AZ

Active since August 09, 2022
1930 S ALMA SCHOOL RD STE C105, MESA, AZ 85210(480) 826-3537 Get Directions Write a Review

NPPES record last updated: March 15, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 7, 2024, Aug 9, 2022 (2 updates tracked since 2022).

About Agave Center For Behavioral Health Pllc NPPES

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

AGAVE CENTER FOR BEHAVIORAL HEALTH PLLC (NPI 1528796596) is a healthcare organization registered as a marriage & family therapist in Mesa, Arizona and active in the NPI registry since August 2022. The organization lists Sheli Jensen, Owner, as its authorized official.

NPPES Registry Identity

NPI1528796596
Entity TypeOrganization
Primary Taxonomy106H00000X
Legal Business NameAGAVE CENTER FOR BEHAVIORAL HEALTH PLLC
Location Address1930 S ALMA SCHOOL RD STE C105Mesa, AZ 85210-3067
Mailing Address1930 S Alma School Rd Ste C105Mesa, AZ 85210-3067 · (480) 826-3537
Organization SubpartNo
Authorized OfficialSheli JensenOwner · (480) 826-3537
Enumeration DateAugust 9, 2022
Last NPPES UpdateMarch 15, 20242 updates tracked since enumeration
NPPES CertifiedMarch 15, 2024
✔ NPI 1528796596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
1930 S ALMA SCHOOL RD STE C105, Mesa, AZ 85210

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Agave Center For Behavioral Health Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Agave Center For Behavioral Health PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Marriage and Family Therapist
NPI 1982155503
1930 S ALMA SCHOOL RD STE C105
Mesa, AZ 85210
(480) 826-3537
✔ PECOS✔ Accepts MedicareSame address

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 Agave Center For Behavioral Health PLLC's NPI number?

The NPI number for Agave Center For Behavioral Health PLLC is 1528796596. It was assigned to this organization in the NPPES registry on August 9, 2022.

Where is Agave Center For Behavioral Health PLLC located?

Agave Center For Behavioral Health PLLC is located at 1930 S Alma School Rd Ste C105, Mesa, AZ 85210. The listed phone number is (480) 826-3537.

What is Agave Center For Behavioral Health PLLC's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Agave Center For Behavioral Health PLLC enrolled in Medicare?

Yes. Agave Center For Behavioral Health PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Agave Center For Behavioral Health PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Marriage and Family Therapist) reassigns their Medicare billing to Agave Center For Behavioral Health PLLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Agave Center For Behavioral Health PLLC was last updated on March 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.