Mark Eugene Pierce, LAC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LAC-21481 Issued in AZ

Practice address

813 W Elliot Rd Ste 3
Chandler, AZ 85225-1887

Phone

(602) 750-8676

NPI assigned

Jul 6, 2023

Sex

Male

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

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

{
    "created_epoch": "1688601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688601600000",
    "number": "1124706510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 W ELLIOT RD STE 3",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852251887",
            "telephone_number": "602-750-8676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 W ELLIOT RD STE 3",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852251887",
            "telephone_number": "602-750-8676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERCE",
        "first_name": "MARK",
        "middle_name": "EUGENE",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-07-06",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LAC-21481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colin Christopher Pickles, PSYD
• Tristan Pico, MD
• Madison Picone
• Alanna Jean Pierce, DC
• Austin Taylor Pierce, MD
• Michael Kenneth Pierce, DC
• Cassandra Marie Pierre-Jerome, DMD
• Jared Hyrum Pierson, DC
• Parker Pietz
• Lyndsey Pike

• Mental Health Counselor in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Mental Health Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; 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.