Active NPI
Elizabeth Anne Menard, LPC
- Professional Counselor
- Phoenix, AZ
National Provider Identifier
1023301587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 16088
- Practice address
- 10810 N Tatum Blvd Ste 102179
Phoenix, AZ 85028-0501 - Phone
- (520) 689-7714
- NPI assigned
- May 17, 2011
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 16088 | AZ | Primary |
Addresses
Primary practice location
10810 N Tatum Blvd Ste 102179
Phoenix, AZ 85028-0501
Mailing address
10810 N Tatum Blvd Ste 102179
Phoenix, AZ 85028-0501
Phone (520) 689-7714
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16088 | AZ | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709942400000",
"number": "1023301587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10810 N TATUM BLVD STE 102179",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850280501",
"telephone_number": "520-689-7714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10810 N TATUM BLVD STE 102179",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850280501",
"telephone_number": "520-689-7714"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENARD",
"first_name": "ELIZABETH",
"middle_name": "ANNE",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-17",
"last_updated": "2024-03-09",
"certification_date": "2024-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AZ",
"license": "16088",
"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 Mar 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.