Active NPI
Christiana Hines
- Mental Health Counselor
- Avondale, AZ
National Provider Identifier
1023776572
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPC-19809
- Practice address
- 950 E Van Buren St
Avondale, AZ 85323-1506 - Phone
- (623) 687-1199
- NPI assigned
- Dec 1, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | |||
| Mental Health Counselor | 101YM0800X | LPC-19809 | AZ | Primary |
Addresses
Primary practice location
950 E Van Buren St
Avondale, AZ 85323-1506
Mailing address
16887 W Central St
Surprise, AZ 85388-1518
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000000000 | Other | AZ | OTHER |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC-19809 | AZ | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maricopa County Special Health Care District | Current | Accepting new patients | |
| Maricopa County Special Health Care District | Current | Accepting new patients | |
| Maricopa County Special Health Care District | Current | Accepting new patients |
Locations
950 E Van Buren St
Avondale, AZ 85323
Phone (623) 344-6800
8088 W Whitney Dr
Ste 2A
Peoria, AZ 85345
Phone (833) 855-9973
33 W Tamarisk St
Phoenix, AZ 85041
Phone (602) 344-6400
Organizations & group practices 3
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.
-
dba Valleywise Health
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1073576740
-
dba Maricopa Integrated Heatlh
- Federally Qualified Health Center (FQHC)
- Mesa, AZ
- NPI 1306265145
-
dba Valleywise Health
- Multi-Specialty Clinic/Center
- Phoenix, AZ
- NPI 1770167108
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729555200000",
"number": "1023776572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16887 W CENTRAL ST",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853881518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "950 E VAN BUREN ST",
"city": "AVONDALE",
"state": "AZ",
"postal_code": "853231506",
"telephone_number": "623-687-1199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HINES",
"first_name": "CHRISTIANA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-12-01",
"last_updated": "2024-10-22",
"certification_date": "2024-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AZ",
"license": "LPC-19809",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER",
"identifier": "0000000000",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Avondale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.