Individual provider Active NPI

Anna Shuqom, MA, LPC

  • Professional Counselor
  • Scottsdale, AZ
National Provider Identifier
1114446259
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-24783 Issued in AZ
Practice address
7373 N Scottsdale Rd Ste A199
Scottsdale, AZ 85253-3593
Phone
(480) 524-0990
NPI assigned
Sep 9, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC-24783 AZ Primary
Professional Counselor 101YP2500X CC7760 ME

Addresses

Primary practice location

7373 N Scottsdale Rd Ste A199
Scottsdale, AZ 85253-3593

Mailing address

7373 N Scottsdale Rd Ste A199
Scottsdale, AZ 85253-3593
Phone (480) 524-0990

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: No
  • 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
I20260612003680 AZ Practitioner - Mental Health Counselor 4486126158

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4800 N Scottsdale Rd
Suite 2500
Scottsdale, AZ 85251-7630

7373 N Scottsdale Rd
Suite A199
Scottsdale, AZ 85253-3593

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LPC-24783AZMDProfessional Counselor
CC7760MEMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Coast Psychiatric Associates Inc CurrentSince Jul 5, 2026 Accepting new patients

Locations

7373 N Scottsdale Rd
Ste A199
Scottsdale, AZ 85253
Phone (702) 805-5360

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1504915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1114446259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7373 N SCOTTSDALE RD STE A199",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852533593",
            "telephone_number": "480-524-0990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7373 N SCOTTSDALE RD STE A199",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852533593",
            "telephone_number": "480-524-0990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUQOM",
        "first_name": "ANNA",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-09",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-24783",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ME",
            "license": "CC7760",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.