Mary M. Deguilio, MC, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC-12278 Issued in AZ

Practice address

14045 N 7TH St
Ste. 4
Phoenix, AZ 85022-4388

Phone

(602) 993-4595

Fax

(602) 993-7440

NPI assigned

Aug 31, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Dressner Counseling Services Inc

  • Clinical Social Worker
  • Phoenix, AZ
  • NPI 1669794558
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124130018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14045 N 7TH ST",
            "address_2": "STE. 4",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850224388",
            "telephone_number": "602-993-4595",
            "fax_number": "602-993-7440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14045 N 7TH ST",
            "address_2": "STE. 4",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850224388",
            "telephone_number": "602-993-4595",
            "fax_number": "602-993-7440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGUILIO",
        "first_name": "MARY",
        "middle_name": "M.",
        "credential": "MC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-12278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chanelle Yvette Degraff, CNS
• Regina A Degraw, LCSW
• Traci Degraw
• Julie Anne Degregorio, CPNP-AC
• Aaron Randall Degroot, DO
• John V Deguzman, MD
• Jose Q. Deguzman, MD
• Maria J Deguzman, M.D.
• Adella Deharo, NP
• Austin N Dehart, MD

• All providers in Phoenix, AZ
• Professional Counselor in Arizona

• 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.