Active NPI
Mercy Akanya Ezemuonye
- Professional Counselor
- Phoenix, AZ
National Provider Identifier
1033540653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC23719
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| LPC23719 | AZ | MD | Professional Counselor |
| 13962 | CO | MD | Professional 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
- Ezekiel'S House Senior Services LLC
- Ezekiel'S House Senior Services LLC
- Ezekiel'S House Senior Services LLC
- Ezekiel'S House Senior Services LLC
- Izunna Ndubisi Ezekwesili, MD
- Ezparose Health PLLC
- Erin Amanda Ezzell, R.N.
- F.a.C.T.S. Behavioral Health
- F.a.C.T.S. Behavioral Health
- F.a.C.T.S. Behavioral Health
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.