Individual provider Active NPI

Suzanna Cano-King, LAC

  • Mental Health Counselor
  • Glendale, AZ
National Provider Identifier
1326709064
Registry record updated Jan 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LAC18134 Issued in AZ
Practice address
18001 N 79TH Ave Ste B48
Glendale, AZ 85308-8393
Phone
(602) 363-0629
Fax
(480) 247-4179
NPI assigned
Jan 5, 2022
Last updated
Jan 5, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LAC18134 AZ Primary

Addresses

Primary practice location

18001 N 79TH Ave Ste B48
Glendale, AZ 85308-8393

Mailing address

16620 N 40TH St Ste G1
Phoenix, AZ 85032-3351
Phone (602) 363-0629

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address suzie@transitionscounselingandconsult.com Direct

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LAC18134AZMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Transitions Counseling and Consulting Mental Health PastSince Jan 17, 2022 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1641340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641340800000",
    "number": "1326709064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16620 N 40TH ST STE G1",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850323351",
            "telephone_number": "602-363-0629",
            "fax_number": "480-247-4179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18001 N 79TH AVE STE B48",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088393",
            "telephone_number": "602-363-0629",
            "fax_number": "480-247-4179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANO-KING",
        "first_name": "SUZANNA",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-05",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LAC18134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "suzie@transitionscounselingandconsult.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "18001 N 79th Ave Ste B48",
            "city": "Glendale",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853088393",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2022; 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.