Individual provider Active NPI

Dalena M. Watson, LPC, FAMI, MT-BC

  • Mental Health Counselor
  • Chandler, AZ
National Provider Identifier
1316197940
Registry record updated May 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC-11965 Issued in AZ
Practice address
90 S Kyrene Rd Ste 4
Chandler, AZ 85226-4687
Phone
(602) 686-3723
Fax
(480) 775-6425
NPI assigned
Sep 19, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC-11965 AZ Primary
Music Therapist 225A00000X 04260 AZ

Addresses

Primary practice location

90 S Kyrene Rd Ste 4
Chandler, AZ 85226-4687

Mailing address

90 S Kyrene Rd Ste 4
Chandler, AZ 85226-4687
Phone (602) 686-3723

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LPC-11965AZMDMental Health Counselor
04260AZMDMusic Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dalena Watson PLLC Mental Health CurrentSince Aug 28, 2022 Accepting new patients

Locations

1029 E Turney Ave
Phoenix, AZ 85014
Phone (602) 686-3723

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.

NPI Registry JSON

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

{
    "created_epoch": "1221782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304985600000",
    "number": "1316197940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 S KYRENE RD STE 4",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852264687",
            "telephone_number": "602-686-3723",
            "fax_number": "480-775-6425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 S KYRENE RD STE 4",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852264687",
            "telephone_number": "602-686-3723",
            "fax_number": "480-775-6425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "DALENA",
        "middle_name": "M.",
        "name_prefix": "Ms.",
        "credential": "LPC, FAMI, MT-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-19",
        "last_updated": "2011-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LPC-11965",
            "primary": true
        },
        {
            "code": "225A00000X",
            "taxonomy_group": "",
            "desc": "Music Therapist",
            "state": "AZ",
            "license": "04260",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.