Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Id Substrate, PLLC

Organization Mental Health Counselor · NPI 1043930662

Id Substrate, PLLC is a Mental Health Counselor in Phoenix, Arizona. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
3
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4500 N 32nd St Ste 100A
Phoenix, AZ 85018-3360
Phone: (602) 200-8690
Fax: (602) 264-8107
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X
Forensic Psychologist Taxonomy 103TF0200X
Group Psychotherapy Psychologist Taxonomy 103TP2701X

Record details

NPI number1043930662
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dawn Craig — Administrator · (602) 561-7806
NPI enumeratedSeptember 1, 2022
Last updated in NPPESSeptember 1, 2022
Certification dateAugust 29, 2022
Mailing addressPo Box 10044, Phoenix, AZ 85064-0044

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