Individual provider Active NPI

Maria Isabel Marquez, LPC

  • Professional Counselor
  • Goodyear, AZ
National Provider Identifier
1023695780
Registry record updated Mar 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-19770 Issued in AZ
Practice address
16692 W Belleview St
Goodyear, AZ 85338-6241
Phone
(602) 910-9983
NPI assigned
Mar 26, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2021

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 LPC-19770 AZ Primary

Addresses

Primary practice location

16692 W Belleview St
Goodyear, AZ 85338-6241

Mailing address

16692 W Belleview St
Goodyear, AZ 85338-6241
Phone (602) 910-9983

Other names 1

  • Maria Marquez Professional name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241004003346 AZ Practitioner - Mental Health Counselor 8325579014 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC-19770AZMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Pathways to Connection, LLC Single Specialty CurrentSince Jul 5, 2024 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1616716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616716800000",
    "number": "1023695780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16692 W BELLEVIEW ST",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853386241",
            "telephone_number": "602-910-9983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16692 W BELLEVIEW ST",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853386241",
            "telephone_number": "602-910-9983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARQUEZ",
        "first_name": "MARIA",
        "middle_name": "ISABEL",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-26",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-19770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "MARQUEZ",
            "credential": "MARIA MARQUEZ, LPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Goodyear, AZ

Sources for this page

Verify at the official NPI Registry.