Active NPI
Karen Lee Vergamini, M.C.
- Mental Health Counselor
- Glendale, AZ
National Provider Identifier
1063658979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- L.P.C. 1392
- Practice address
- 3520 W. Danbury
Glendale, AZ 85308 - Phone
- (623) 492-9450
- Fax
- (623) 580-8511
- NPI assigned
- Dec 23, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | L.P.C. 1392 | AZ | Primary |
Addresses
Primary practice location
3520 W. Danbury
Glendale, AZ 85308
Mailing address
4617 W Wahalla LN
Glendale, AZ 85308-7335
Phone (623) 492-9450
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 |
|---|---|---|---|
| L.P.C. 1392 | AZ | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1229990400000",
"number": "1063658979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4617 W WAHALLA LN",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853087335",
"telephone_number": "623-492-9450",
"fax_number": "623-580-8511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3520 W. DANBURY",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "85308",
"telephone_number": "623-492-9450",
"fax_number": "623-580-8511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERGAMINI",
"first_name": "KAREN",
"middle_name": "LEE",
"credential": "M.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-12-23",
"last_updated": "2008-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AZ",
"license": "L.P.C. 1392",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.