Active NPI
Mindelle L Will, MA, LAC
- Counselor
- Mesa, AZ
National Provider Identifier
1194555342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- LAC08154T
- Practice address
- 2950 S Alma School Rd Ste 11
Mesa, AZ 85210-4036 - Phone
- (480) 821-1330
- NPI assigned
- Aug 2, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | LAC08154T | AZ | Primary |
Addresses
Primary practice location
2950 S Alma School Rd Ste 11
Mesa, AZ 85210-4036
Mailing address
4513 W Butler Dr
Chandler, AZ 85226-4809
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LAC08154T | AZ | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722556800000",
"number": "1194555342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4513 W BUTLER DR",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852264809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2950 S ALMA SCHOOL RD STE 11",
"city": "MESA",
"state": "AZ",
"postal_code": "852104036",
"telephone_number": "480-821-1330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILL",
"first_name": "MINDELLE",
"middle_name": "L",
"credential": "MA, LAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-02",
"last_updated": "2024-08-02",
"certification_date": "2024-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "AZ",
"license": "LAC08154T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.