Intercessory Counseling & Wellness, PLLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC-17155 Issued in AZ

Legal business name

INTERCESSORY COUNSELING & WELLNESS, PLLC

Practice address

7121 W Bell Rd Ste 115
Glendale, AZ 85308-8555

Phone

(602) 599-2000

Fax

(602) 599-2009

NPI assigned

Mar 12, 2018

Last updated

Jul 12, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael Rayes, LPCNPI 1629409289

Title

Owner

Phone

(602) 599-2000

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Rayes

  • Professional Counselor
  • Glendale, AZ
  • NPI 1629409289

  Addiction (Substance Use Disorder)

  Medicare reassignment NPD Authorized official
• Brittany Cacho

  • Professional Counselor
  • Phoenix, AZ
  • NPI 1073123774
  NPD (past)
• Nidia Zobeida Elm, LMFT

  • Marriage & Family Therapist
  • Phoenix, AZ
  • NPI 1346370707
  NPD (past)
• Annemarie O'Reilly, LCSW

  • Clinical Social Worker
  • Yreka, CA
  • NPI 1902576895
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1520812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720742400000",
    "number": "1447753876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7121 W BELL RD STE 115",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088555",
            "telephone_number": "602-599-2000",
            "fax_number": "602-599-2009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7121 W BELL RD STE 115",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088555",
            "telephone_number": "602-599-2000",
            "fax_number": "602-599-2009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERCESSORY COUNSELING & WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-12",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A",
        "authorized_official_last_name": "RAYES",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-599-2000",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "LISAC-15078",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-17155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "418298",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Professional Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.