Individual provider Active NPI

Darrian Marisa McKiernan

  • Marriage & Family Therapist
  • Queen Creek, AZ
National Provider Identifier
1437506714
Registry record updated Sep 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
23804 S 231St Way
Queen Creek, AZ 85142-1548
Phone
(702) 420-8064
Fax
(702) 438-4673
NPI assigned
May 17, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 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 Primary

Addresses

Primary practice location

23804 S 231St Way
Queen Creek, AZ 85142-1548

Mailing address

23804 S 231St Way
Queen Creek, AZ 85142-1548
Phone (702) 420-8064

Other practice location 1

3320 N Buffalo Dr Ste 207
Las Vegas, NV 89129-7411
Phone (702) 659-4825

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
Credentials
Master of Arts, Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Arrange Your Change Therapy LLC CurrentSince Nov 5, 2023 Accepting new patients

Organizations & group practices 1

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": "1463443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1437506714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23804 S 231ST WAY",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851421548",
            "telephone_number": "702-420-8064",
            "fax_number": "702-438-4673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23804 S 231ST WAY",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851421548",
            "telephone_number": "702-420-8064",
            "fax_number": "702-438-4673"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3320 N Buffalo Dr Ste 207",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891297411",
            "country_code": "US",
            "telephone_number": "702-659-4825",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKIERNAN",
        "first_name": "DARRIAN",
        "middle_name": "MARISA",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-17",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Queen Creek, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.