OrganizationActive
Immanuel Behavioral Health Counseling Clinic
NPI 1104495084 · Clinic/Center · Peoria, AZ
Immanuel Behavioral Health Counseling Clinic is a Clinic/Center organization in Peoria, AZ (NPI 1104495084).
Provider details
- NPI number
- 1104495084
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- 15856
- Organization subpart
- Yes
- Authorized official
- Brenda Pierce, Chief Operating Officer(623) 738-8549
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
11301 N 99th Ave Ste 5120
Peoria, AZ 85345-5485
Phone: (623) 876-6379
Fax: (623) 876-6379
Street-level locationGet directions
Mailing address
11301 N 99th Ave Ste 5120
Peoria, AZ 85345-5485
Registry dates
- Enumerated
- 2021-06-23
- Last updated
- 2023-04-27
- Certified
- 2023-04-27
Frequently asked questions
- What is Immanuel Behavioral Health Counseling Clinic's NPI number?
- Immanuel Behavioral Health Counseling Clinic's National Provider Identifier (NPI) is 1104495084, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Immanuel Behavioral Health Counseling Clinic?
- Immanuel Behavioral Health Counseling Clinic is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Immanuel Behavioral Health Counseling Clinic located?
- Immanuel Behavioral Health Counseling Clinic's practice location on file with NPPES is 11301 N 99th Ave Ste 5120, Peoria, AZ 85345-5485.
- What is Immanuel Behavioral Health Counseling Clinic's phone number?
- The practice phone number listed in the NPPES registry for Immanuel Behavioral Health Counseling Clinic is (623) 876-6379.
- Who is the authorized official for Immanuel Behavioral Health Counseling Clinic?
- The authorized official listed on Immanuel Behavioral Health Counseling Clinic's NPPES record is Brenda Pierce, Chief Operating Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Immanuel Behavioral Health Counseling Clinic's NPI active?
- Yes — Immanuel Behavioral Health Counseling Clinic's NPI (1104495084) is active in the NPPES registry as of the last update on 2023-04-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.