Individual provider Active NPI

Mariko Asada, LPC

  • Professional Counselor
  • Phoenix, AZ
National Provider Identifier
1417640657
Registry record updated Jun 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
20488 Issued in AZ
Practice address
3001 N 3Rd St
Phoenix, AZ 85012-3060
Phone
(602) 353-0703
NPI assigned
Jun 1, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 20488 AZ Primary

Addresses

Primary practice location

3001 N 3Rd St
Phoenix, AZ 85012-3060

Mailing address

5335 E Shea Blvd Apt 2068
Scottsdale, AZ 85254-5746
Phone (480) 270-1762

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
I20240201000590 AZ Practitioner - Mental Health Counselor 9739532169 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20488AZMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Family & Children'S Service CurrentSince Jan 1, 2024 Accepting new patients
Jewish Family & Children'S Service Current Accepting new patients
Jewish Family & Children'S Service CurrentSince Jan 1, 2024 Accepting new patients
Jewish Family & Children'S Service Past Accepting new patients

Locations

4747 N 7th St
Ste 100
Phoenix, AZ 85014
Phone (602) 279-7655

3001 N 33rd Ave
Phoenix, AZ 85017
Phone (602) 353-0703

2033 N 7th St
Phoenix, AZ 85006
Phone (602) 257-9314

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

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": "1685577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685577600000",
    "number": "1417640657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5335 E SHEA BLVD APT 2068",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852545746",
            "telephone_number": "480-270-1762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 N 3RD ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850123060",
            "telephone_number": "602-353-0703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASADA",
        "first_name": "MARIKO",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-01",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "20488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.