Individual provider Active NPI

Sheila B. Avery, LPC

  • Professional Counselor
  • Prescott, AZ
National Provider Identifier
1174282263
Registry record updated Dec 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-20462 Issued in AZ
Practice address
1000 Ainsworth Dr Ste C320
Prescott, AZ 86305-1663
Phone
(703) 732-3425
NPI assigned
Dec 16, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC-20462 AZ Primary

Addresses

Primary practice location

1000 Ainsworth Dr Ste C320
Prescott, AZ 86305-1663

Mailing address

1875 Kingsbury
Prescott, AZ 86305-7038
Phone (703) 732-3425

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • 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
I20240102000961 AZ Practitioner - Mental Health Counselor 5193198042 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Raymond W Lemberg PHD PCGroup PAC ID 3375578917, 26 clinicians

Practice addresses (Care Compare)

2414 W Old Paint TRL
Phoenix, AZ 85086-6608

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Raymond W Lemberg PHD PC CurrentSince Jan 1, 2024 Accepting new patients
Arizona Therapy Associates, LLC PastSince Aug 1, 2021 Accepting new patients

Locations

20325 N 51st Ave
Ste 168
Glendale, AZ 85308
Phone (480) 801-2985

17235 N 75th Ave
Ste F135
Glendale, AZ 85308
Phone (480) 801-2985

1000 Ainsworth Dr
Prescott, AZ 86305
Phone (928) 776-7885

1000 Ainsworth Dr
Ste C320
Prescott, AZ 86305
Phone (844) 385-3747

2820 N Glassford Hill Rd
Ste 108
Prescott Valley, AZ 86314
Phone (844) 385-3747

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.

NPI Registry JSON

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

{
    "created_epoch": "1639612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639612800000",
    "number": "1174282263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1875 KINGSBURY",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863057038",
            "telephone_number": "703-732-3425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 AINSWORTH DR STE C320",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863051663",
            "telephone_number": "703-732-3425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVERY",
        "first_name": "SHEILA",
        "middle_name": "B.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-16",
        "last_updated": "2021-12-16",
        "certification_date": "2021-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-20462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott, AZ

Sources for this page

Verify at the official NPI Registry.