Active NPI
Anita K Marple, LAC
- Counselor
- Mesa, AZ
National Provider Identifier
1104044817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- LAC-12431
- Practice address
- 235 S El Dorado Cir
Mesa, AZ 85202-1044 - Phone
- (480) 968-2995
- NPI assigned
- Apr 20, 2007
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | LAC-12431 | AZ | Primary |
Addresses
Primary practice location
235 S El Dorado Cir
Mesa, AZ 85202-1044
Mailing address
2303 E Anchor Dr
Gilbert, AZ 85234-3872
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 |
|---|---|---|---|
| LAC-12431 | AZ | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LDS Family Services | Past | Accepting new patients | |
| LDS Family Services | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Counselor
- Mesa, AZ
- NPI 1134347149
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Renton, WA
- NPI 1073726485
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104044817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2303 E ANCHOR DR",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852343872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "235 S EL DORADO CIR",
"city": "MESA",
"state": "AZ",
"postal_code": "852021044",
"telephone_number": "480-968-2995"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARPLE",
"first_name": "ANITA",
"middle_name": "K",
"credential": "LAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "AZ",
"license": "LAC-12431",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mesa, 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.