Active NPI
Willie Roger Counts
- Psychologist
- Phoenix, AZ
National Provider Identifier
1023292737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 648
- Practice address
- 3052 E Desert Broom Way
Phoenix, AZ 85048-8314 - Phone
- (480) 227-1665
- NPI assigned
- Dec 18, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 648 | AZ | Primary |
Addresses
Primary practice location
3052 E Desert Broom Way
Phoenix, AZ 85048-8314
Mailing address
3052 E Desert Broom Way
Phoenix, AZ 85048-8314
Phone (480) 227-1665
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260512000647 | AZ | Practitioner - Clinical Psychologist | 1254809940 | Practice locations: Phoenix, AZ |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3052 E Desert Broom Way
Phoenix, AZ 85048-8314
Phone (480) 227-1665
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 648 | AZ | MD | Foot & Ankle Surgery Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197936000000",
"number": "1023292737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3052 E DESERT BROOM WAY",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850488314",
"telephone_number": "480-227-1665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3052 E DESERT BROOM WAY",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850488314",
"telephone_number": "480-227-1665"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COUNTS",
"first_name": "WILLIE",
"middle_name": "ROGER",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-12-18",
"last_updated": "2007-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "AZ",
"license": "648",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
- Counseling Office PLLC
- Count Your Blessings Services LLC
- Countertop Productions LLC (Liz Brinkman Nutrition)
- Country Health Care
- Alexis Counts
- County of Maricopa (Alhambra School District #68)
- County of Maricopa Co Maricopa County Treas Pendergast School Dist 92
- County of Maricopa Creighton Elementary School
- County of Maricopa, Balsz School District #31
- Linda Couper, RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.