THERAPEUTIC EDGE LLC
NPI 1558041632
Nurse Practitioner - Psychiatric/Mental Health in Litchfield Park, AZ
About Therapeutic Edge Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THERAPEUTIC EDGE LLC (NPI 1558041632) is a healthcare organization registered as a psychiatric/mental health in Litchfield Park, Arizona and active in the NPI registry since July 2023. The organization lists Destini Mayfield, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Therapeutic Edge Llc 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 Therapeutic Edge LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Therapeutic Edge LLC's NPI number?
The NPI number for Therapeutic Edge LLC is 1558041632. It was assigned to this organization in the NPPES registry on July 24, 2023.
Where is Therapeutic Edge LLC located?
Therapeutic Edge LLC is located at 501 E Plaza Cir Dr Ste 8, Litchfield Park, AZ 85340. The listed phone number is (602) 399-9079.
What is Therapeutic Edge LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Therapeutic Edge LLC enrolled in Medicare?
Yes. Therapeutic Edge LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Therapeutic Edge LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Therapeutic Edge 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Therapeutic Edge LLC was last updated on October 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Therapeutic Edge Llc · NPI 1558041632
Psychiatric/Mental Health organization in Litchfield Park, Arizona. Organization record, active in the CMS NPPES registry since July 24, 2023.
## Identity
- **NPI:** 1558041632 (Entity type: Organization)
- **Enumerated:** July 24, 2023
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** No
- **Authorized official:** Destini Mayfield, OWNER
## Practice location
- **Address:** 501 E PLAZA CIR DR STE 8, Litchfield Park, AZ 85340-4909
- **Phone:** (602) 399-9079
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 23, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1558041632) · Data from the CMS NPPES public registry.