Active NPI
Deborah McMenemy
- Mental Health Counselor
- Phoenix, AZ
National Provider Identifier
1417887035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LAC-21225
- Practice address
- 809 W Maryland Ave Ste B
Phoenix, AZ 85013-1325 - Phone
- (602) 281-3206
- NPI assigned
- May 23, 2026
- Sex
- Unspecified or another gender identity
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LAC-21225 | AZ | Primary |
Addresses
Primary practice location
809 W Maryland Ave Ste B
Phoenix, AZ 85013-1325
Mailing address
809 W Maryland Ave Ste B
Phoenix, AZ 85013-1325
Phone (602) 281-3206
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
| License | State | Type | Specialty |
|---|---|---|---|
| LAC-21225 | AZ | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1779494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779494400000",
"number": "1417887035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "809 W MARYLAND AVE STE B",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850131325",
"telephone_number": "602-281-3206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "809 W MARYLAND AVE STE B",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850131325",
"telephone_number": "602-281-3206"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCMENEMY",
"first_name": "DEBORAH",
"sole_proprietor": "YES",
"sex": "X",
"enumeration_date": "2026-05-23",
"last_updated": "2026-05-23",
"certification_date": "2026-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AZ",
"license": "LAC-21225",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.