Individual provider Active NPI

Ericka Valdez, LPC

  • Professional Counselor
  • Chandler, AZ
National Provider Identifier
1215565759
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-18591 Issued in AZ
Practice address
1600 W Chandler Blvd Ste 230
Chandler, AZ 85224-6162
Phone
(480) 257-0655
NPI assigned
Mar 30, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2023

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-18591 AZ Primary

Addresses

Primary practice location

1600 W Chandler Blvd Ste 230
Chandler, AZ 85224-6162

Mailing address

630 E Deer Creek Rd
Phoenix, AZ 85048-0196
Phone (480) 257-0656

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC-18591AZMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Evoke Recovery LLC CurrentSince Apr 30, 2024 Accepting new patients
Evoke Recovery LLC Professional CurrentSince Sep 13, 2020 Accepting new patients
Evoke Systems LC PastSince Aug 28, 2021 Accepting new patients

Locations

1600 W Chandler Blvd
Ste 230
Chandler, AZ 85224
Phone (480) 257-0656

1204 E Baseline Rd
Ste 106
Tempe, AZ 85283
Phone (480) 915-5395

Organizations & group practices 3

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": "1585526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1215565759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 E DEER CREEK RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850480196",
            "telephone_number": "480-257-0656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 W CHANDLER BLVD STE 230",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852246162",
            "telephone_number": "480-257-0655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALDEZ",
        "first_name": "ERICKA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-30",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-18591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.