Valeria Tripp, LAC

Key facts

NPI

1003515552

Entity type

Individual (NPI type 1)

Primary specialty

Mental Health Counselor 101YM0800X

License

LAC-18990 (AZ)

Practice address

3637 N 73Rd Ave
Phoenix, AZ 85033-4311

Phone

(602) 903-6630

NPI assigned

Feb 23, 2023

Sex

Female

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 23, 2023.

{
    "created_epoch": "1677110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677110400000",
    "number": "1003515552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3637 N 73RD AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850334311",
            "telephone_number": "602-903-6630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3637 N 73RD AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850334311",
            "telephone_number": "602-903-6630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIPP",
        "first_name": "VALERIA",
        "name_prefix": "Ms.",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-23",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LAC-18990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Phoenix, AZ · Mental Health Counselor in Arizona