Individual provider Active NPI

Emily Alyce Flentye, LPC

  • Counselor
  • Mesa, AZ
National Provider Identifier
1457033193
Registry record updated Aug 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LPC-22015 Issued in AZ
Practice address
2500 S Power Rd Ste 103
Mesa, AZ 85209-6687
Phone
(844) 385-3747
Fax
(480) 462-2801
NPI assigned
Aug 2, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X LPC-22015 AZ Primary

Addresses

Primary practice location

2500 S Power Rd Ste 103
Mesa, AZ 85209-6687

Mailing address

2500 S. Power Rpad
Suite 103
Mesa, AZ 85206-8332
Phone (844) 385-3747

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
I20240110002859 AZ Practitioner - Other (Non-Physician) 7618328014 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Undefined Non-Physician Type (Specify)
Education
Other, 2013
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)

2500 S Power Rd
Suite 103
Mesa, AZ 85209-6687
Phone (844) 385-3747

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC-22015AZMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Raymond W Lemberg PHD PC Counselor CurrentSince Jan 1, 2024 Accepting new patients

Locations

930 N Switzer Canyon Dr
Ste 103
Flagstaff, AZ 86001
Phone (844) 385-3747

2500 S Power Rd
Ste 103
Mesa, AZ 85209
Phone (844) 385-3747

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 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": "1690934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1457033193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 S. POWER RPAD",
            "address_2": "SUITE 103",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852068332",
            "telephone_number": "844-385-3747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 S POWER RD STE 103",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852096687",
            "telephone_number": "844-385-3747",
            "fax_number": "480-462-2801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLENTYE",
        "first_name": "EMILY",
        "middle_name": "ALYCE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-02",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "AZ",
            "license": "LPC-22015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.