Aj Southwest Ventures Inc
NPI 1639880917 · Marriage & Family Therapist · Tempe, AZ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Aj Southwest Ventures Inc is a Marriage & Family Therapist organization in Tempe, AZ (NPI 1639880917).
Provider details
- NPI number
- 1639880917
- Entity type
- Organization
- Primary specialty
- Marriage & Family TherapistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Allyson Fernstrom, Owner(602) 502-3806
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Psychiatry Physician2084P0800X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
Mailing address
Other names (DBA / former)
- Doing business as
- Revibe Mental Health
Registry dates
- Enumerated
- 2022-12-08
- Last updated
- 2025-02-18
- Certified
- 2025-02-18
Frequently asked questions
- What is Aj Southwest Ventures Inc's NPI number?
- Aj Southwest Ventures Inc's National Provider Identifier (NPI) is 1639880917, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Aj Southwest Ventures Inc?
- Aj Southwest Ventures Inc is classified in the NPPES registry as Marriage & Family Therapist (Behavioral Health & Social Service Providers).
- Where is Aj Southwest Ventures Inc located?
- Aj Southwest Ventures Inc's practice location on file with NPPES is 3920 S Rural Rd Ste 112, Tempe, AZ 85282-5500.
- What is Aj Southwest Ventures Inc's phone number?
- The practice phone number listed in the NPPES registry for Aj Southwest Ventures Inc is (480) 674-9220.
- Does Aj Southwest Ventures Inc accept Medicare?
- Aj Southwest Ventures Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Aj Southwest Ventures Inc?
- The authorized official listed on Aj Southwest Ventures Inc's NPPES record is Allyson Fernstrom, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Aj Southwest Ventures Inc's NPI active?
- Yes — Aj Southwest Ventures Inc's NPI (1639880917) is active in the NPPES registry as of the last update on 2025-02-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.