Pamela Moreno, LPC
Individual provider Active NPI Mental Health Counselor · Phoenix, AZ
NPI 1306540372 · NPPES record last updated May 29, 2025
Key facts
- NPI
- 1306540372
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- LPC23300 (AZ)
- Practice address
- 4131 N 24TH St Ste B102
Phoenix, AZ 85016-6231 - Phone
- (480) 882-4545
- Fax
- (602) 903-7091
- NPI assigned
- Mar 27, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241204000988 | AZ | Practitioner - Mental Health Counselor | 8426584269 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LAC-13775 | AZ | MD | Counselor |
| LPC23300 | AZ | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neighborhood Outreach Access to Health | Current |
Accepting new patients | |
| Neighborhood Outreach Access to Health | Mental Health | Current |
Accepting new patients |
Locations
11851 N 51st Ave
Ste B110
Glendale, AZ 85304
11851 N 51st Ave
Ste F140
Glendale, AZ 85304
Phone (623) 428-0001
9015 N 3rd St
Phoenix, AZ 85020
7500 N Dreamy Draw Dr
Ste 145
Phoenix, AZ 85020
20440 N 27th Ave
Phoenix, AZ 85027
4131 N 24th St
Ste B102
Phoenix, AZ 85016
Phone (602) 955-6632
16251 N Cave Creek Rd
Phoenix, AZ 85032
8705 E McDowell Rd
Scottsdale, AZ 85257
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | LAC-13775 | AZ | |
| Mental Health Counselor | 101YM0800X | LPC23300 | AZ | Yes |
Addresses
Primary practice location
4131 N 24TH St Ste B102
Phoenix, AZ 85016-6231
Mailing address
7500 N Dreamy Draw Dr Ste 145
Phoenix, AZ 85020-4668
Phone (480) 882-4545
Other providers in Phoenix, AZ
- Lisa Moreno
- Maribel Moreno
- Michele Lee Moreno
- Nancine Moreno
- Olivia Moreno
- Rosie Jari Moreno
- Tammy Mae Moreno
- Vannia Moreno
- Kara-Lynn Morgado
- Peggy Jean Morgan-Griffin
All providers in Phoenix, AZ · Mental Health 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 May 29, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.