Individual provider Active NPI

Mercy Akanya Ezemuonye

  • Professional Counselor
  • Phoenix, AZ
National Provider Identifier
1033540653
Registry record updated Aug 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC23719 Issued in AZ
Practice address
4414 N 19TH Ave
Phoenix, AZ 85015-4114
Phone
(602) 285-5550
Fax
(602) 285-5551
NPI assigned
Dec 7, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 13962 CO
Behavior Technician 106S00000X
Professional Counselor 101YP2500X LPC23719 AZ Primary

Addresses

Primary practice location

4414 N 19TH Ave
Phoenix, AZ 85015-4114

Mailing address

4414 N 19TH Ave
Phoenix, AZ 85015-4114
Phone (602) 285-5550

Other practice location 1

27777 Inkster Rd Ste 100
Farmington Hills, MI 48334-5326
Phone (248) 299-0030

Other practice location 2

1450 S Havana St
Suite 230
Aurora, CO 80012-4018
Phone (719) 217-1280

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
LPC23719AZMDProfessional Counselor
13962COMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1386374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754870400000",
    "number": "1033540653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4414 N 19TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850154114",
            "telephone_number": "602-285-5550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4414 N 19TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850154114",
            "telephone_number": "602-285-5550",
            "fax_number": "602-285-5551"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27777 Inkster Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Farmington Hills",
            "state": "MI",
            "postal_code": "483345326",
            "country_code": "US",
            "telephone_number": "248-299-0030",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1450 S Havana St",
            "address_2": "Suite 230",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800124018",
            "country_code": "US",
            "telephone_number": "719-217-1280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EZEMUONYE",
        "first_name": "MERCY",
        "middle_name": "AKANYA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-07",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "13962",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC23719",
            "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 Aug 11, 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.