OrganizationActive
Jeremiah 29:11 Counseling Services LLC
NPI 1366210205 · Addiction (Substance Use Disorder) Counselor · Mesa, AZ
Provider details
- NPI number
- 1366210205
- Entity type
- Organization
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Grady Smith, Np/Owner(206) 291-5998
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
1 N Macdonald Ste B19
Mesa, AZ 85201-7339
Phone: (206) 291-5998
Street-level locationGet directions
Mailing address
1 N Macdonald Ste B19
Mesa, AZ 85201-7339
Other names (DBA / former)
- Doing business as
- Jeremiah 2911 Counseling Services LLC
Registry dates
- Enumerated
- 2023-12-19
- Last updated
- 2023-12-19
- Certified
- 2023-12-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.