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FAMILY SERVICE AGENCY
NPI 1740487222
Community/Behavioral Health in Mesa, AZ

Active since June 28, 2007
1107 S GILBERT RD, SUITE 104, MESA, AZ 85204(602) 264-9891(602) 234-2639 Get Directions Write a Review

NPPES record last updated: November 21, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 21, 2023, Jul 25, 2023, Mar 6, 2018 and 2 more (5 updates tracked since 2016).

About Family Service Agency NPPES

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

FAMILY SERVICE AGENCY (NPI 1740487222) is a healthcare organization registered as a community/behavioral health in Mesa, Arizona and active in the NPI registry since June 2007. The organization lists Rose M Lopez, President And Ceo, as its authorized official.

NPPES Registry Identity

NPI1740487222
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameFAMILY SERVICE AGENCY
Location Address1107 S GILBERT RD, SUITE 104Mesa, AZ 85204-5232
Mailing AddressPo Box 86537Tucson, AZ 85754-6537 · (520) 721-1887 · Fax (520) 721-0069
Phone(602) 264-9891
Fax(602) 234-2639
Organization SubpartNo
Authorized OfficialRose M LopezPresident And Ceo · (520) 721-1887
Enumeration DateJune 28, 2007
Last NPPES UpdateNovember 21, 20235 updates tracked since enumeration
NPPES CertifiedNovember 21, 2023
✔ NPI 1740487222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
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.
Also ListedVoluntary or CharitableTaxonomy 251V00000X · License BH-1277 (AZ), OTC8084 (AZ)
1107 S GILBERT RD, Mesa, AZ 85204
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Other Identifiers 2

OtherOTC11459AZ · Adhs/bmfl
Other117079AZ · Ahcccs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Blue Cross Blue Shield of Arizona.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Family Service Agency is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

15

Medicare enrollment records show 15 clinicians reassign Medicare billing to Family Service Agency, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 7

Mental Health Counselor6
Nurse Practitioner4
Clinical Social Worker1
Emergency Medicine1
Family Practice1
Marriage and Family Therapist1
Psychiatry1

Clinicians, nearest first (15)

Catherine Hilario, LPC
Mental Health Counselor
NPI 1700695244
3280 S COUNTRY CLUB WAY STE 110
Tempe, AZ 85282
(602) 285-5550
✔ PECOS6.5 mi
Arijeta Ahmeti-Thomas, LCSW
Clinical Social Worker
NPI 1336773670
2120 S MCCLINTOCK DR
Tempe, AZ 85282
(480) 804-0326
✔ PECOS7.1 mi
Matilda Eyong Epse Ebaietaka, PMHNP
Nurse Practitioner
NPI 1952159253
3755 S ROME STREET
Gilbert, AZ 85297
(480) 677-5500
✔ PECOS✔ Accepts Medicare8.0 mi
Zachary Carling, LPC
Mental Health Counselor
NPI 1912879040
4414 N 19TH AVE
Phoenix, AZ 85015
(602) 285-5550
✔ PECOS19 mi
Yvonne Espinoza, LPC
Mental Health Counselor
NPI 1457104333
4414 N 19TH AVE
Phoenix, AZ 85015
(602) 285-5550
✔ PECOS19 mi
Michelle Noel
Mental Health Counselor
NPI 1912761354
4414 N 19TH AVE
Phoenix, AZ 85015
(602) 285-5550
✔ PECOS19 mi
Timothy Shaffer, MS, LMFT
Marriage and Family Therapist
NPI 1891388724
4414 N 19TH AVE
Phoenix, AZ 85015
(602) 285-5550
✔ PECOS19 mi
Don Maryon, MS, LAC
Mental Health Counselor
NPI 1952924409
4414 N 19TH AVE
Phoenix, AZ 85015
(602) 384-3035
✔ PECOS19 mi
Chantelle Okoye, LPC
Mental Health Counselor
NPI 1740986553
28370 N GOLD LN
San Tan Valley, AZ 85143
(480) 720-3393
✔ PECOS23 mi
Pamela Conn, ANP-C
Nurse Practitioner
NPI 1174712491
14674 W MOUNTAIN VIEW BLVD SUITE 200
Surprise, AZ 85374
(623) 544-6860
✔ PECOS38 mi
Lindsey Retterath, MD
Emergency Medicine
NPI 1417334970
1501 N CAMPBELL AVE
Tucson, AZ 85724
(520) 626-7233
✔ PECOS93 mi
Alaina Martinez, MD
Family Practice
NPI 1386271104
1021 E PALMDALE ST STE 130
Tucson, AZ 85714
(520) 407-5353
✔ PECOS✔ Accepts Medicare97 mi
Robin Ross, M.D.
Psychiatry
NPI 1629101217
1501 W COMMERCE CT
Tucson, AZ 85746
(520) 741-3180
✔ PECOS✔ Accepts Medicare98 mi
Philip Bohn, PMHNP
Nurse Practitioner
NPI 1386312577
7973 S SILVER LILLIE WAY
Tucson, AZ 85747
(214) 998-2077
✔ PECOS✔ Accepts Medicare109 mi
Ian Adams
Nurse Practitioner
NPI 1417402280
100 BISQUE DR
Henderson, NV 89074
(775) 220-7885
✔ PECOS✔ Accepts Medicare262 mi

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 Family Service Agency's NPI number?

The NPI number for Family Service Agency is 1740487222. It was assigned to this organization in the NPPES registry on June 28, 2007.

Where is Family Service Agency located?

Family Service Agency is located at 1107 S Gilbert Rd Suite 104, Mesa, AZ 85204. The listed phone number is (602) 264-9891.

What is Family Service Agency's specialty?

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

Is Family Service Agency enrolled in Medicare?

Yes. Family Service Agency is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Family Service Agency?

According to the CMS Revalidation Reassignment List (October 2026 release), 15 clinicians in 7 Medicare specialties reassign their Medicare billing to Family Service Agency. 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. The largest specialties are Mental Health Counselor (6), Nurse Practitioner (4) and Clinical Social Worker (1). Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Family Service Agency accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health and Blue Cross Blue Shield of Arizona list Family Service Agency 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 Family Service Agency was last updated on November 21, 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.