Mary Flanery, LISAC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

SA-1695 Issued in AZ

Practice address

1365 E 12TH St
Casa Grande, AZ 85122-3694

Phone

(520) 371-9646

Fax

(520) 466-8851

NPI assigned

Jul 14, 2014

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.

• Mary Flanery

  • Mental Illness Community Based Residential Treatment Facility
  • Casa Grande, AZ
  • NPI 1528474533
  NPD (past) Authorized official

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

{
    "created_epoch": "1405296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405296000000",
    "number": "1134536972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1365 E 12TH ST",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851223694",
            "telephone_number": "520-466-8850",
            "fax_number": "520-466-8851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1365 E 12TH ST",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851223694",
            "telephone_number": "520-371-9646",
            "fax_number": "520-466-8851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLANERY",
        "first_name": "MARY",
        "credential": "LISAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-14",
        "last_updated": "2014-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AZ",
            "license": "SA-1695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alma Lopez Figueroa, MC, NCC, LPC
• Nilda Marie Fimbres, RN CDCES
• Fine Fettle Healthcare LLC
• Lisa Fischer, OT
• Colleen Fitzpatrick-Rodgers, LISAC
• Sean O'Toole Flannagan, D.P.T.
• Richard T Fleming, MD
• Kyle Flood, DPT
• Florence Oladokun PLLC
• Alberto Salazar Flores Jr., SLPA

• Counselor in Casa Grande, AZ
• Providers in Casa Grande, AZ by specialty
• Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2014; 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.