AZ COMPASSIONATE CARE BEHAVIORAL & WELLNESS CLINIC LLC
NPI 1891490876
Community/Behavioral Health in Phoenix, AZ

Active since March 31, 2023
15640 N 7TH ST STE A1, PHOENIX, AZ 85022(602) 858-0191(602) 858-0140 Get Directions Write a Review

NPPES record last updated: May 7, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 7, 2025, Jul 20, 2023, Mar 31, 2023 (3 updates tracked since 2023).

About Az Compassionate Care Behavioral & Wellness Clinic Llc NPPES

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

AZ COMPASSIONATE CARE BEHAVIORAL & WELLNESS CLINIC LLC (NPI 1891490876) is a healthcare organization registered as a community/behavioral health in Phoenix, Arizona and active in the NPI registry since March 2023. The organization lists King William, Ceo, as its authorized official.

NPPES Registry Identity

NPI1891490876
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameAZ COMPASSIONATE CARE BEHAVIORAL & WELLNESS CLINIC LLC
Location Address15640 N 7TH ST STE A1Phoenix, AZ 85022-3520
Mailing Address15640 N 7th St Ste A1Phoenix, AZ 85022-3520 · (602) 858-0191 · Fax (602) 858-0140
Fax(602) 858-0140
Organization SubpartNo
Authorized OfficialKing WilliamCeo · (480) 458-7350
Enumeration DateMarch 31, 2023
Last NPPES UpdateMay 7, 20253 updates tracked since enumeration
NPPES CertifiedMay 7, 2025
✔ NPI 1891490876 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 15

★ 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 ListedMealsTaxonomy 174200000X
Also ListedLodgingTaxonomy 177F00000X
Also ListedCase ManagementTaxonomy 251B00000X
Also ListedVoluntary or CharitableTaxonomy 251V00000X
Also ListedClinic/Center · Community HealthTaxonomy 261QC1500X
Also ListedClinic/Center · Developmental DisabilitiesTaxonomy 261QD1600X
Also ListedClinic/Center · Health ServiceTaxonomy 261QH0100X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
Also ListedClinic/Center · Recovery CareTaxonomy 261QR0800X
15640 N 7TH ST STE A1, Phoenix, AZ 85022

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Az Compassionate Care Behavioral & Wellness Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Az Compassionate Care Behavioral & Wellness Clinic LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1457058091
1860 N 95TH LN STE 300
Phoenix, AZ 85037
(480) 626-7584
✔ PECOS✔ Accepts Medicare16 mi
Nurse Practitioner
NPI 1003424771
2745 W JESSICA LN
Phoenix, AZ 85041
(480) 200-7688
✔ PECOS17 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 Az Compassionate Care Behavioral & Wellness Clinic LLC's NPI number?

The NPI number for Az Compassionate Care Behavioral & Wellness Clinic LLC is 1891490876. It was assigned to this organization in the NPPES registry on March 31, 2023.

Where is Az Compassionate Care Behavioral & Wellness Clinic LLC located?

Az Compassionate Care Behavioral & Wellness Clinic LLC is located at 15640 N 7th St Ste A1, Phoenix, AZ 85022. The listed phone number is (602) 858-0191.

What is Az Compassionate Care Behavioral & Wellness Clinic LLC's specialty?

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

Is Az Compassionate Care Behavioral & Wellness Clinic LLC enrolled in Medicare?

Yes. Az Compassionate Care Behavioral & Wellness Clinic LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Az Compassionate Care Behavioral & Wellness Clinic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Az Compassionate Care Behavioral & Wellness Clinic 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 Az Compassionate Care Behavioral & Wellness Clinic LLC was last updated on May 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.