OPEN HEARTS NPI 1265544324

NPI Information

NPI: 1265544324
Provider Name: OPEN HEARTS
Classification: Counselor - 101YM0800X
Specialization: Mental Health
Entity Type: Organization
:
CLIA Number: 03D2275292
Address: 4414 N 19TH AVE
PHOENIX, AZ
ZIP 85015
Phone: (602) 285-5550

Map and Directions

Get Directions

NPI Details

OPEN HEARTS is a mental health counselor in Phoenix, AZ. OPEN HEARTS NPI is 1265544324. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

4414 N 19TH AVE
PHOENIX, AZ
ZIP 85015
Phone: (602) 285-5550
Fax: (602) 285-5551

The provider's authorized official is Shannon Nordahl .
The authorized official title is Quality Assurance Manager and has the following contact phone number (602) 285-5550.

The CLIA number assigned to this NPI record is 03D2275292 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 5/7/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101Y00000X	Counselor		BH-1794	ARIZONA	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	BH-1794	ARIZONA	No
3	104100000X	Social Worker		BH-1794	ARIZONA	No
4	101YM0800X	Counselor	Mental Health	BH-1794	ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	349127	MEDICAID	ARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI

Next NPI