Individual provider Active NPI

Constance A. Vukas, LMFT

  • Marriage & Family Therapist
  • Glendale, AZ
National Provider Identifier
1427179415
Registry record updated Apr 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1413 Issued in MN
Practice address
17235 N 75TH Ave Ste F135
Glendale, AZ 85308-0825
Phone
(480) 801-2985
NPI assigned
Apr 3, 2007
Last updated
Apr 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 1413 MN Primary

Addresses

Primary practice location

17235 N 75TH Ave Ste F135
Glendale, AZ 85308-0825

Mailing address

19005 N Concho Cir
Sun City, AZ 85373-1404
Phone (701) 866-9209

Other identifiers 1

IdentifierTypeStateIssuer
233463000OtherMNMHCP PROVIDER NUMBER

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
I20240103003404 AZ Practitioner - Marriage and Family Therapist 5698126688 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Raymond W Lemberg PHD PCGroup PAC ID 3375578917, 26 clinicians

Practice addresses (Care Compare)

20325 N 51St Ave
Suite 168
Glendale, AZ 85308-4624
Phone (844) 385-3747

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1413MNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Therapy Associates, LLC CurrentSince Apr 16, 2023 Accepting new patients
Raymond W Lemberg PHD PC CurrentSince Jan 1, 2024 Accepting new patients
Lutheran Social Service of Minnesota Past Accepting new patients

Locations

17235 N 75th Ave
Ste F135
Glendale, AZ 85308
Phone (480) 801-2985

20325 N 51st Ave
Ste 168
Glendale, AZ 85308
Phone (480) 801-2985

1000 Ainsworth Dr
Prescott, AZ 86305
Phone (928) 776-7885

1000 Ainsworth Dr
Ste C320
Prescott, AZ 86305
Phone (844) 385-3747

Organizations & group practices 3

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": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681430400000",
    "number": "1427179415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19005 N CONCHO CIR",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853731404",
            "telephone_number": "701-866-9209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17235 N 75TH AVE STE F135",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853080825",
            "telephone_number": "480-801-2985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VUKAS",
        "first_name": "CONSTANCE",
        "middle_name": "A.",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "1413",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHCP PROVIDER NUMBER",
            "identifier": "233463000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.