MATHEW WILLARCH BA, BHT
NPI 1629938550
Counselor in Glendale, AZ

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101Y00000X.

Active since November 13, 2025

17505 N 79TH AVE STE 105, GLENDALE, AZ 85308(602) 292-4477(602) 900-0969 Get Directions Write a Review

NPPES record last updated: November 13, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Mathew Willarch Ba, Bht NPPES

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

MATHEW WILLARCH BA, BHT (NPI 1629938550) is an individual counselor in Glendale, Arizona, licensed in Arizona (CSLG13337) and active in the NPI registry since November 2025. He maintains a secondary practice location in Phoenix.

NPPES Registry Identity

NPI1629938550

Entity TypeIndividualMale

Primary Taxonomy101Y00000X

Provider Legal NameMATHEW WILLARCHCredential: BA, BHT

Location Address17505 N 79TH AVE STE 105Glendale, AZ 85308-8724

Mailing Address23460 N 19th Ave Ste 220Phoenix, AZ 85027-2170 · (602) 292-1862 · Fax (602) 900-0969

Phone(602) 292-4477

Fax(602) 900-0969

Sole ProprietorNo

Enumeration DateNovember 13, 2025

NPPES CertifiedNovember 13, 2025

✔ NPI 1629938550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in AZ · CSLG13337

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

17505 N 79TH AVE STE 105, Glendale, AZ 85308

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