Individual provider Active NPI

Clarice Parham, M.A., LPC

  • Mental Health Counselor
  • Phoenix, AZ
National Provider Identifier
1184959637
Registry record updated Mar 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC-2306 Issued in AZ
Practice address
2400 N Central Ave
Ste 400
Phoenix, AZ 85004-1341
Phone
(602) 264-9891
Fax
(602) 234-2639
NPI assigned
Oct 15, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC-2306 AZ Primary

Addresses

Primary practice location

2400 N Central Ave
Ste 400
Phoenix, AZ 85004-1341

Mailing address

2400 N Central Ave
Ste 400
Phoenix, AZ 85004-1341
Phone (602) 264-9891

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
I20240830000900 AZ Practitioner - Mental Health Counselor 1456390277 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healing Edge Recovery and Wellness CenterGroup PAC ID 4082143680, 2 clinicians
All Family Care PCGroup PAC ID 6406867936, 3 clinicians

Practice addresses (Care Compare)

4220 N 20TH Ave
Suite 100
Phoenix, AZ 85015-0002
Phone (602) 753-5544

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LPC-2306AZMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
All Family Care, PC CurrentSince Jun 16, 2024 Accepting new patients
Healing Edge Recovery and Wellness Center CurrentSince Nov 30, 2024 Accepting new patients

Locations

4220 N 20th Ave
Phoenix, AZ 85015
Phone (602) 279-7655

4120 N 108th Ave
Ste 116
Phoenix, AZ 85037
Phone (602) 881-5430

4220 N 20th Ave
Ste 300
Phoenix, AZ 85015
Phone (602) 704-4050

4220 N 20th Ave
Ste 100
Phoenix, AZ 85015
Phone (602) 254-9701

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": "1255564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520294400000",
    "number": "1184959637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 N CENTRAL AVE",
            "address_2": "STE 400",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850041341",
            "telephone_number": "602-264-9891",
            "fax_number": "602-234-2639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 N CENTRAL AVE",
            "address_2": "STE 400",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850041341",
            "telephone_number": "602-264-9891",
            "fax_number": "602-234-2639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARHAM",
        "first_name": "CLARICE",
        "credential": "M.A., LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-15",
        "last_updated": "2018-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LPC-2306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.