Nooshin Adib, LPC COUNSELOR – Professional Counselor

Key facts

NPI: 1295293033
Entity type: Individual (NPI type 1)
Primary specialty: Professional Counselor 101YP2500X
License: LPC-21673 (AZ)
Practice address: 4319 N Dryden St
Prescott Valley, AZ 86314-9397
Phone: (928) 350-7503
NPI assigned: Mar 11, 2019
Sex: Female
Sole proprietor: Yes

Organizations & group practices 1

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.

Solace Counseling,LLC Mental Health Clinic/Center (Including Community Mental Health Center) · Prescott Valley, AZ · NPI 1376240382

NPD

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
LPC-21673	AZ	MD	Professional Counselor

Practice roles

Organization	Specialty	Status	New patients
Solace Counseling,LLC		Current since Feb 12, 2023	Accepting new patients

Locations

186 E Sheldon St
Prescott, AZ 86301
Phone (480) 442-7365

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Professional Counselor	101YP2500X	LPC-21673	AZ	Yes

Addresses

Primary practice location

4319 N Dryden St
Prescott Valley, AZ 86314-9397

Mailing address

186 E Sheldon St
Prescott, AZ 86301-3114
Phone (928) 350-7503

Other providers in Prescott Valley, AZ

All providers in Prescott Valley, AZ · Professional Counselor in Arizona

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 9, 2023. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.