Individual provider Active NPI

Edward A. Rooney, LPC, LISAC

  • Professional Counselor
  • Phoenix, AZ
National Provider Identifier
1194965087
Registry record updated Mar 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-13099 Issued in AZ
Practice address
714 W Palo Verde Dr
Phoenix, AZ 85013-1628
Phone
(602) 234-1935
Fax
(602) 234-0022
NPI assigned
Mar 4, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LISAC-11729 AZ
Professional Counselor 101YP2500X LPC-13099 AZ Primary

Addresses

Primary practice location

714 W Palo Verde Dr
Phoenix, AZ 85013-1628

Mailing address

714 W Palo Verde Dr
Phoenix, AZ 85013-1628

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
I20260422003430 AZ Practitioner - Mental Health Counselor 9537636931 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2004
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4343 N 16TH St
Phoenix, AZ 85016-5338

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LISAC-11729AZMDAddiction (Substance Use Disorder) Counselor
LPC-13099AZMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Community 43 CurrentSince Jan 24, 2026 Accepting new patients
Mercy Center of Arizona PastSince May 25, 2025 Accepting new patients
Highland Medical Center, PC PastSince Jan 24, 2026 Accepting new patients
Mercy Center of Arizona PastSince May 22, 2022 Accepting new patients

Locations

4343 N 16th St
Phoenix, AZ 85016
Phone (602) 223-1711

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26465/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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": "1236124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236124800000",
    "number": "1194965087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 W PALO VERDE DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850131628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 W PALO VERDE DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850131628",
            "telephone_number": "602-234-1935",
            "fax_number": "602-234-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROONEY",
        "first_name": "EDWARD",
        "middle_name": "A.",
        "name_prefix": "Mr.",
        "credential": "LPC, LISAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-04",
        "last_updated": "2009-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "LISAC-11729",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-13099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.