Individual provider Active NPI

Rochelle Le Roy

  • Counselor
  • Tempe, AZ
National Provider Identifier
1427463884
Registry record updated Dec 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LPC-22178 Issued in AZ
Practice address
2131 E Broadway Rd Ste 1
Tempe, AZ 85282-1737
Phone
(480) 525-0058
NPI assigned
Jun 24, 2014
Last updated
Dec 26, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LPC-22178 AZ Primary
Speech-Language Assistant 2355S0801X SLPA8647 AZ

Addresses

Primary practice location

2131 E Broadway Rd Ste 1
Tempe, AZ 85282-1737

Mailing address

12600 N 113TH Ave BLDG a
Youngtown, AZ 85363-1162

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 23, 2024 through Apr 23, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LPC-22178AZMDCounselor
SLPA8647AZMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Partners LLC PastSince Jun 1, 2013 Accepting new patients
Breakthrough Behavioral North LLC Past Accepting new patients
Breakthrough Behavioral Health PastSince Sep 1, 2022 Accepting new patients
Pediatric Partners, LLC Past Accepting new patients

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, 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": "1403568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703548800000",
    "number": "1427463884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12600 N 113TH AVE BLDG A",
            "city": "YOUNGTOWN",
            "state": "AZ",
            "postal_code": "853631162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2131 E BROADWAY RD STE 1",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852821737",
            "telephone_number": "480-525-0058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE ROY",
        "first_name": "ROCHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-24",
        "last_updated": "2023-12-26",
        "certification_date": "2023-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AZ",
            "license": "LPC-22178",
            "primary": true
        },
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "AZ",
            "license": "SLPA8647",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

Verify at the official NPI Registry.