Individual provider Active NPI

Stephanie Elizabeth Quist, LPC

  • Mental Health Counselor
  • Queen Creek, AZ
National Provider Identifier
1255916748
Registry record updated Mar 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC-19643 Issued in AZ
Practice address
22713 S Ellsworth Rd BLDG a
Queen Creek, AZ 85142-7886
Phone
(480) 825-5776
NPI assigned
Mar 16, 2021
Last updated
Mar 16, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2021

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-19643 AZ Primary

Addresses

Primary practice location

22713 S Ellsworth Rd BLDG a
Queen Creek, AZ 85142-7886

Mailing address

22713 S Ellsworth Rd BLDG a
Queen Creek, AZ 85142-7886
Phone (480) 825-5776

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
I20240606002993 AZ Practitioner - Mental Health Counselor 9032651922 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC-19643AZMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Paper Cranes Healthcare LLC CurrentSince Jul 1, 2024 Accepting new patients
Horizon Health and Wellness, Inc. CurrentSince Apr 23, 2024 Accepting new patients
Horizon Health and Wellness, Inc. Current Accepting new patients
Horizon Health and Wellness, Inc. CurrentSince Apr 23, 2024 Accepting new patients
Cranes for Change Corp Mental Health CurrentSince Nov 1, 2024 Accepting new patients
American Vascular Specialists LLC PastSince Jul 1, 2024 Accepting new patients

Locations

625 N Plaza Dr
Apache Junction, AZ 85120
Phone (480) 282-6278

210 E Cottonwood Ln
Casa Grande, AZ 85122
Phone (520) 836-1688

5980 S Cooper Rd
Ste 1
Chandler, AZ 85249
Phone (480) 704-3474

5980 S Cooper Rd
Ste 4
Chandler, AZ 85249
Phone (480) 704-3474

20185 E Ocotillo Rd
Ste 104
Queen Creek, AZ 85142
Phone (480) 888-2010

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1615852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615852800000",
    "number": "1255916748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22713 S ELLSWORTH RD BLDG A",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851427886",
            "telephone_number": "480-825-5776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22713 S ELLSWORTH RD BLDG A",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851427886",
            "telephone_number": "480-825-5776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUIST",
        "first_name": "STEPHANIE",
        "middle_name": "ELIZABETH",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-16",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LPC-19643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Queen Creek, AZ

Sources for this page

Verify at the official NPI Registry.