MEDICARE: COMMUNITY PILLARS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	172V00000X	Community Health Worker
2	106S00000X	Behavior Technician
3	164W00000X	Licensed Practical Nurse
4	163WC0400X	Case Management Registered Nurse
5	164X00000X	Licensed Vocational Nurse
6	171400000X	Health & Wellness Coach
7	101YA0400X	Addiction (Substance Use Disorder) Counselor
8	171M00000X	Case Manager/Care Coordinator
9	163WP0808X	Psychiatric/Mental Health Registered Nurse
10	363LA2100X	Acute Care Nurse Practitioner
11	175T00000X	Peer Specialist
12	163WC1500X	Community Health Registered Nurse
13	101YM0800X	Mental Health Counselor
14	103TP2701X	Group Psychotherapy Psychologist
15	2084A0401X	Addiction Medicine (Psychiatry & Neurology) Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1215751920
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMMUNITY PILLARS LLC

Provider Business Mailing Address
First Line	:	245 W 2ND ST STE 21
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85201-6552
Country	:	US
Telephone Number	:	602-743-5561
Fax Number	:	833-664-4074

Provider Business Practice Location Address
First Line	:	245 W 2ND ST STE 21
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85201-6556
Country	:	US
Telephone Number	:	602-743-5561
Fax Number	:	833-664-4074

Authorized Official
Title or Position	:	CEO
Name	:	JEREMI TAYLOR
Credential	:
Telephone Number	:	602-743-5561

Provider Enumeration Date	:	11/09/2024
Last Update Date	:	02/15/2026

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Directions to “COMMUNITY PILLARS LLC ” Practice Location

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