Individual provider Active NPI

Eva Cristina Hidalgo Norheim, LAC, NCC

  • Professional Counselor
  • Phoenix, AZ
National Provider Identifier
1003418856
Registry record updated Nov 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LAC-19326 Issued in AZ
Practice address
34975 N North Valley Pkwy
Phoenix, AZ 85086-4028
Phone
(480) 525-7091
NPI assigned
Nov 16, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X LAC-19326 AZ Primary

Addresses

Primary practice location

34975 N North Valley Pkwy
Phoenix, AZ 85086-4028

Mailing address

1013 S Farmer Ave
Tempe, AZ 85281-5576
Phone (602) 245-6360

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LAC-19326AZMDProfessional Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1605484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605484800000",
    "number": "1003418856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1013 S FARMER AVE",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852815576",
            "telephone_number": "602-245-6360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34975 N NORTH VALLEY PKWY",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850864028",
            "telephone_number": "480-525-7091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORHEIM",
        "first_name": "EVA",
        "middle_name": "CRISTINA HIDALGO",
        "credential": "LAC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-16",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LAC-19326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.