Individual provider Active NPI

Monica Von Eggers, PHD, LPC, LISAC, NCC

  • Mental Health Counselor
  • Phoenix, AZ
National Provider Identifier
1497265714
Registry record updated Jun 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
13298 Issued in AZ
Practice address
4539 N 22ND St Ste 200
Phoenix, AZ 85016-4661
Phone
(480) 341-0017
NPI assigned
Oct 2, 2017
Last updated
Jun 2, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 91286
Addiction (Substance Use Disorder) Counselor 101YA0400X 11839 AZ
Mental Health Counselor 101YM0800X 13298 AZ Primary
Professional Counselor 101YP2500X 13298 AZ

Addresses

Primary practice location

4539 N 22ND St Ste 200
Phoenix, AZ 85016-4661

Mailing address

17621 W Babbitt Dr
Surprise, AZ 85374-3010
Phone (760) 974-6879

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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
11839AZMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1506902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622592000000",
    "number": "1497265714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17621 W BABBITT DR",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853743010",
            "telephone_number": "760-974-6879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4539 N 22ND ST STE 200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164661",
            "telephone_number": "480-341-0017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VON EGGERS",
        "first_name": "MONICA",
        "credential": "PHD, LPC, LISAC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-02",
        "last_updated": "2021-06-02",
        "certification_date": "2021-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": "91286",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "11839",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "13298",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "13298",
            "primary": false
        }
    ],
    "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 Jun 2, 2021; 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.