AZ CENTER FOR CHANGE
NPI 1609105642
Community/Behavioral Health in Phoenix, AZ

Active since December 22, 2009CLIA 03D2168722 · Waiver
4205 N 7TH AVE, 311, PHOENIX, AZ 85013(602) 253-8488(602) 253-8340 Get Directions Write a Review

NPPES record last updated: September 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Az Center For Change NPPES

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

AZ CENTER FOR CHANGE (NPI 1609105642) is a healthcare organization registered as a community/behavioral health in Phoenix, Arizona and active in the NPI registry since December 2009. The organization holds a CLIA Waiver certificate valid through February 14, 2027 and lists Diane Genco, Clinical Director/owner, as its authorized official.

NPPES Registry Identity

NPI1609105642
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameAZ CENTER FOR CHANGE
Location Address4205 N 7TH AVE, 311Phoenix, AZ 85013-3078
Mailing Address4205 N 7th Ave, 311Phoenix, AZ 85013-3078 · (602) 253-8488 · Fax (602) 253-8340
Fax(602) 253-8340
Organization SubpartNo
Authorized OfficialDiane GencoClinical Director/owner · (602) 253-8488
Enumeration DateDecember 22, 2009
Last NPPES UpdateSeptember 18, 2024
NPPES CertifiedSeptember 18, 2024
NPI 1609105642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License Licensed in AZ · BH-3486
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
4205 N 7TH AVE, Phoenix, AZ 85013

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

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 Waiver 03D2168722

Az Center For Change · Phoenix, AZ
Active · expires Feb 14, 2027
CLIA Number03D2168722
Laboratory TypeOtc
Certificate Effective DateFebruary 15, 2025
Certificate Expiration DateFebruary 14, 2027
Laboratory DirectorDiane Genco
Laboratory Phone(602) 253-8340
Laboratory LocationAz Center For Change4205 N 7th Ave, Suite 311, Phoenix, AZ 85013
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Counselor (Mental Health)
4205 N 7TH AVE, #311
PHOENIX, AZ 85013

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 Az Center For Change's NPI number?

The NPI number for Az Center For Change is 1609105642. It was assigned to this organization in the NPPES registry on December 22, 2009.

Where is Az Center For Change located?

Az Center For Change is located at 4205 N 7th Ave 311, Phoenix, AZ 85013. The listed phone number is (602) 253-8488.

What is Az Center For Change's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Does Az Center For Change hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2168722) is associated with this NPI, valid through February 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Az Center For Change accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and UnitedHealthcare list Az Center For Change 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 Az Center For Change was last updated on September 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.