Active NPI
Marilyn Paquette
- Professional Counselor
- Phoenix, AZ
National Provider Identifier
1427364546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC2396
- Practice address
- 730 E Highland Ave
Phoenix, AZ 85014-3625 - Phone
- (602) 241-6656
- Fax
- (602) 241-7506
- NPI assigned
- Aug 26, 2010
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC2396 | AZ | Primary |
Addresses
Primary practice location
730 E Highland Ave
Phoenix, AZ 85014-3625
Mailing address
730 E Highland Ave
Phoenix, AZ 85014-3625
Phone (602) 241-6656
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 |
|---|---|---|---|
| LPC2396 | AZ | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282780800000",
"number": "1427364546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "730 E HIGHLAND AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850143625",
"telephone_number": "602-241-6656",
"fax_number": "602-241-7506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "730 E HIGHLAND AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850143625",
"telephone_number": "602-241-6656",
"fax_number": "602-241-7506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAQUETTE",
"first_name": "MARILYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-26",
"last_updated": "2010-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AZ",
"license": "LPC2396",
"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 Aug 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.