Individual provider Active NPI

Maraeca Butler, LPC

  • Professional Counselor
  • Tempe, AZ
National Provider Identifier
1356744387
Registry record updated Mar 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-15498 Issued in AZ
Practice address
2111 E Baseline Rd Ste B1
Tempe, AZ 85283-1517
Phone
(480) 579-8827
NPI assigned
Oct 5, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2021

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-15498 AZ
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X LPC-15498 AZ Primary

Addresses

Primary practice location

2111 E Baseline Rd Ste B1
Tempe, AZ 85283-1517

Mailing address

2111 E Baseline Rd Ste B1
Tempe, AZ 85283-1517

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
LPC-15498AZMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Rebuilt Mental Health CurrentSince Jul 31, 2022 Accepting new patients
Katie Plukas PLLC Dba Salt & Light Counseling Services Past Accepting new patients

Locations

2111 E Baseline Rd
Ste D3
Tempe, AZ 85283
Phone (602) 245-5975

2020 S McClintock Dr
Ste 101
Tempe, AZ 85282
Phone (480) 559-9682

Organizations & group practices 2

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": "1412467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1356744387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 E BASELINE RD STE B1",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852831517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 E BASELINE RD STE B1",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852831517",
            "telephone_number": "480-579-8827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "MARAECA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-05",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LPC-15498",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-15498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; 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.