Individual provider Active NPI

Daria Siriano

  • Professional Counselor
  • Phoenix, AZ
National Provider Identifier
1255760500
Registry record updated Sep 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
16746 Issued in AZ
Practice address
2416 W Oberlin Way
Phoenix, AZ 85085-4788
Phone
(914) 610-1684
NPI assigned
Nov 7, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 16746 AZ Primary
Mental Health Counselor 101YM0800X

Addresses

Primary practice location

2416 W Oberlin Way
Phoenix, AZ 85085-4788

Mailing address

44047 N 43Rd Ave
Phoenix, AZ 85087-6100

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
I20260515002548 AZ Practitioner - Mental Health Counselor 2466921788 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2416 W Oberlin Way
Phoenix, AZ 85085-4788

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16746AZMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Empact - Suicide Prevention Center Past Accepting new patients
Empact Suicide Prevention Center Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: daria.siriano.p1@direct.lafrontera-empact.nextgenshare.com

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": "1383782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727481600000",
    "number": "1255760500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44047 N 43RD AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850876100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2416 W OBERLIN WAY",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850854788",
            "telephone_number": "914-610-1684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIRIANO",
        "first_name": "DARIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-07",
        "last_updated": "2024-09-28",
        "certification_date": "2024-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "16746",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.