Individual provider Active NPI

Theresa L De Armond-Farrell, LPC, NCC

  • Mental Health Counselor
  • Phoenix, AZ
National Provider Identifier
1083055719
Registry record updated Apr 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
14077 Issued in AZ
Practice address
8841 N 1St St BLDG a
Phoenix, AZ 85020-2801
Phone
(602) 574-6544
Fax
(623) 937-0415
NPI assigned
Jul 10, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2014

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 14077 AZ Primary

Addresses

Primary practice location

8841 N 1St St BLDG a
Phoenix, AZ 85020-2801

Mailing address

PO Box 84614
Phoenix, AZ 85071-4614
Phone (602) 574-6544

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260624000011 AZ Practitioner - Mental Health Counselor 9739652546 Practice locations: Phoenix, AZ

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Phoenix, AZ 85029
Phone (602) 574-6544

8841 N 1St St
Suite B
Phoenix, AZ 85020-2801
Phone (602) 574-6544

PO Box
Suite 81614
Phoenix, AZ 85071

PO Box
Suite 81614
Phoenix, AZ 85071-4614

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1373414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398816000000",
    "number": "1083055719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 84614",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850714614",
            "telephone_number": "602-574-6544",
            "fax_number": "623-937-0415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8841 N 1ST ST BLDG A",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850202801",
            "telephone_number": "602-574-6544",
            "fax_number": "623-937-0415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE ARMOND-FARRELL",
        "first_name": "THERESA",
        "middle_name": "L",
        "credential": "LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-10",
        "last_updated": "2014-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "14077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.