Individual provider Active NPI

Anna Vargas-Leveriza, PHD, LPC, LASAC

  • Professional Counselor
  • Goodyear, AZ
National Provider Identifier
1386269678
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
21451 Issued in AZ
Practice address
18640 W Kendall St
Goodyear, AZ 85338-7478
Phone
(602) 315-9529
NPI assigned
Jun 11, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LAC-18323 AZ
Professional Counselor 101YP2500X 21451 AZ Primary

Addresses

Primary practice location

18640 W Kendall St
Goodyear, AZ 85338-7478

Mailing address

18640 W Kendall St
Goodyear, AZ 85338-7478
Phone (602) 315-9529

Other practice location 1

250 N Litchfield Rd Ste 201
Goodyear, AZ 85338-1372
Phone (623) 337-2275

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250411001321 AZ Practitioner - Mental Health Counselor 6103340369 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
21451AZMDProfessional Counselor
LAC-18323AZMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Novacare Clinic LLC Professional CurrentSince Mar 2, 2025 Accepting new patients
Avl Consulting and Evaluation Professional CurrentSince Aug 1, 2025 Accepting new patients

Locations

10240 N 31st Ave
Ste 122
Phoenix, AZ 85051
Phone (602) 499-6675

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": "1591833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1386269678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18640 W KENDALL ST",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853387478",
            "telephone_number": "602-315-9529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18640 W KENDALL ST",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853387478",
            "telephone_number": "602-315-9529"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 N Litchfield Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Goodyear",
            "state": "AZ",
            "postal_code": "853381372",
            "country_code": "US",
            "telephone_number": "623-337-2275",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VARGAS-LEVERIZA",
        "first_name": "ANNA",
        "credential": "PHD, LPC, LASAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-11",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LAC-18323",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "21451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodyear, AZ

Sources for this page

Verify at the official NPI Registry.