GOTHAM RANCH, LLC
NPI 1609353077
Counselor - Professional in Mesa, AZ

Active since July 27, 2018
4342 E EDGEWOOD AVE, MESA, AZ 85206(480) 577-5327 Get Directions Write a Review

NPPES record last updated: December 2, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gotham Ranch, Llc NPPES

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

GOTHAM RANCH, LLC (NPI 1609353077) is a healthcare organization registered as a professional in Mesa, Arizona and active in the NPI registry since July 2018. The organization lists Jessica Lynn Breznak-higgins, Owner/counselor, as its authorized official.

NPPES Registry Identity

NPI1609353077
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameGOTHAM RANCH, LLC
Location Address4342 E EDGEWOOD AVEMesa, AZ 85206-2646
Mailing Address4342 E Edgewood AveMesa, AZ 85206-2646 · (480) 577-5327
Organization SubpartNo
Authorized OfficialJessica Lynn Breznak-higginsOwner/counselor · (480) 577-5327
Enumeration DateJuly 27, 2018
Last NPPES UpdateDecember 2, 2023
NPPES CertifiedDecember 2, 2023
NPI 1609353077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
4342 E EDGEWOOD AVE, Mesa, AZ 85206

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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.

Counselor (Professional)
4342 E EDGEWOOD AVE
MESA, AZ 85206
Counselor (Professional)
4342 E EDGEWOOD AVE
MESA, AZ 85206

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 Gotham Ranch, LLC's NPI number?

The NPI number for Gotham Ranch, LLC is 1609353077. It was assigned to this organization in the NPPES registry on July 27, 2018.

Where is Gotham Ranch, LLC located?

Gotham Ranch, LLC is located at 4342 E Edgewood Ave, Mesa, AZ 85206. The listed phone number is (480) 577-5327.

What is Gotham Ranch, LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Gotham Ranch, LLC was last updated on December 2, 2023. 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.