Denise Ellen Fogelstrom, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC-1484 Issued in AZ

Practice address

4250 E Florian Ave
Building 1
Mesa, AZ 85206

Phone

(480) 844-1653

Fax

(480) 539-4947

NPI assigned

Dec 15, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Marc Community Resources, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mesa, AZ
  • NPI 1619912029
  NPD (past)

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316009343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2232 E NISBET RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850224040",
            "telephone_number": "602-788-2589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4250 E FLORIAN AVE",
            "address_2": "BUILDING 1",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85206",
            "telephone_number": "480-844-1653",
            "fax_number": "480-539-4947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOGELSTROM",
        "first_name": "DENISE",
        "middle_name": "ELLEN",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-1484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyra S Flowers, LCSW
• Brianna Flunker, NMD
• Emma Jeanette Flynn, DDS
• Kathryn Lee Flynn, SLPA
• Nicole A Flynn, PHARMD
• Carsten Foggatt, PHARM.D.
• Sean Folan
• Kelsi Folding, OTR/L
• Travis B Foley, LAC
• Akira Folk, DO

• Professional Counselor in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Professional Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.