Individual provider Active NPI

Vallerie Hancock, LPC

  • Mental Health Counselor
  • Phoenix, AZ
National Provider Identifier
1063559870
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC-12280 Issued in AZ
Practice address
15215 S 48TH St Ste 150
Phoenix, AZ 85044-9139
Phone
(480) 629-5232
Fax
(480) 629-5232
NPI assigned
Jan 31, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC-12280 AZ Primary

Addresses

Primary practice location

15215 S 48TH St Ste 150
Phoenix, AZ 85044-9139

Mailing address

PO Box 50815
Phoenix, AZ 85076-0815
Phone (480) 629-5232

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
LPC-12280AZMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Psychological and Consulting Services LLC Professional CurrentSince Nov 1, 2020 Accepting new patients

Locations

331 N 1st Ave
Ste 102
Phoenix, AZ 85003
Phone (480) 215-6040

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063559870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50815",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850760815",
            "telephone_number": "480-629-5232",
            "fax_number": "480-629-5232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15215 S 48TH ST STE 150",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850449139",
            "telephone_number": "480-629-5232",
            "fax_number": "480-629-5232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANCOCK",
        "first_name": "VALLERIE",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LPC-12280",
            "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 Jul 8, 2007; 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.