Active NPI
Az Family Life Counseling Coaching
- Professional Counselor
- Phoenix, AZ
National Provider Identifier
1265974943
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC-15944
- Legal business name
- AZ FAMILY LIFE COUNSELING COACHING
- Practice address
- 34406 N 27TH Dr
Building 6, Suite 140
Phoenix, AZ 85085-6082 - Phone
- (480) 535-5028
- Fax
- (480) 535-5028
- NPI assigned
- Nov 10, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Cristin Marie Mullen, LPC
- Title
- Licensed Professional Counselor
- Phone
- (602) 316-9899
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC-15944 | AZ | Primary |
Addresses
Primary practice location
34406 N 27TH Dr
Building 6, Suite 140
Phoenix, AZ 85085-6082
Mailing address
34406 N 27TH Dr
Building 6, Suite 140
Phoenix, AZ 85085-6082
Phone (480) 535-5028
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478736000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1478736000000",
"number": "1265974943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34406 N 27TH DR",
"address_2": "BUILDING 6, SUITE 140",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850856082",
"telephone_number": "480-535-5028",
"fax_number": "480-535-5028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34406 N 27TH DR",
"address_2": "BUILDING 6, SUITE 140",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850856082",
"telephone_number": "480-535-5028",
"fax_number": "480-535-5028"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AZ FAMILY LIFE COUNSELING COACHING",
"organizational_subpart": "NO",
"enumeration_date": "2016-11-10",
"last_updated": "2016-11-10",
"status": "A",
"authorized_official_last_name": "MULLEN",
"authorized_official_first_name": "CRISTIN",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
"authorized_official_telephone_number": "602-316-9899",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "AZ",
"license": "LPC-15944",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
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- Az Family Medicine PLLC
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.