Individual provider Active NPI

Deja Armstrong

  • Counselor
  • Glendale, AZ
National Provider Identifier
1023682739
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
17505 N 79TH Ave Ste 203
Glendale, AZ 85308-8726
Phone
(623) 866-3375
NPI assigned
May 17, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LAC-23052 AZ
Counselor 101Y00000X Primary

Addresses

Primary practice location

17505 N 79TH Ave Ste 203
Glendale, AZ 85308-8726

Mailing address

17505 N 79TH Ave Ste 203
Glendale, AZ 85308-8726

Other practice location 1

10320 W McDowell Rd Ste 7022
Avondale, AZ 85392-4871
Phone (480) 674-7618

Other identifiers 1

IdentifierTypeStateIssuer
NAOtherAZNA

Electronic endpoints 5

TypeEndpointUseAffiliation
Direct Messaging Address 6028815404@qliq.com Direct
Direct Messaging Address 6028815404@qliq.com Direct
Direct Messaging Address 6028815404@qliq.com Direct
Direct Messaging Address 6028815404@qliq.com Direct
Direct Messaging Address info@premierinsightcounseling.com

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-23052AZMDMental Health Counselor

Interoperability endpoints

  • Direct secure messaging: deja.armstrong.1@33227.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1621209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1023682739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17505 N 79TH AVE STE 203",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17505 N 79TH AVE STE 203",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088726",
            "telephone_number": "623-866-3375"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10320 W McDowell Rd Ste 7022",
            "address_purpose": "LOCATION",
            "city": "Avondale",
            "state": "AZ",
            "postal_code": "853924871",
            "country_code": "US",
            "telephone_number": "480-674-7618",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARMSTRONG",
        "first_name": "DEJA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-17",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LAC-23052",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NA",
            "identifier": "NA",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "6028815404@qliq.com",
            "affiliation": "N",
            "endpointDescription": "Qliq Messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "10320 W McDowell Rd Ste 7022",
            "city": "Avondale",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853924871",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "6028815404@qliq.com",
            "affiliation": "N",
            "endpointDescription": "Qliq Messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "10320 W McDowell Rd Ste 7022",
            "city": "Avondale",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853924871",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "6028815404@qliq.com",
            "affiliation": "N",
            "endpointDescription": "Qliq Messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "10320 W McDowell Rd Ste 7022",
            "city": "Avondale",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853924871",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "6028815404@qliq.com",
            "affiliation": "N",
            "endpointDescription": "Qliq Messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "10320 W McDowell Rd Ste 7022",
            "city": "Avondale",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853924871",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@premierinsightcounseling.com",
            "affiliation": "N",
            "address_1": "17505 N 79th Ave Ste 203",
            "city": "Glendale",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853088726",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; 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.