Individual provider Active NPI

Mercy Warigia Mwangi, ED D BH

  • Professional Counselor
  • Glendale, AZ
National Provider Identifier
1497360895
Registry record updated Sep 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
17315 Issued in AZ
Practice address
17431 N 71St Dr Ste 103
Glendale, AZ 85308-8598
Phone
(623) 755-3689
NPI assigned
Sep 11, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 17315 AZ
Mental Health Counselor 101YM0800X 17315 AZ
Professional Counselor 101YP2500X 17315 AZ Primary

Addresses

Primary practice location

17431 N 71St Dr Ste 103
Glendale, AZ 85308-8598

Mailing address

17431 N 71St Dr Ste 103
Glendale, AZ 85308-8598
Phone (623) 755-3679

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
I20240606001371 AZ Practitioner - Mental Health Counselor 3577005420 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17315AZMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Care Wellness LLC CurrentSince Apr 29, 2024 Accepting new patients
Elite Care Wellness LLC PastSince Mar 11, 2025 Accepting new patients

Locations

4040 E McDowell Rd
Ste 418
Phoenix, AZ 85008
Phone (602) 550-9492

Organizations & group practices 2

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": "1599782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599782400000",
    "number": "1497360895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17431 N 71ST DR STE 103",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088598",
            "telephone_number": "623-755-3679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17431 N 71ST DR STE 103",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088598",
            "telephone_number": "623-755-3689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MWANGI",
        "first_name": "MERCY",
        "middle_name": "WARIGIA",
        "credential": "ED D BH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-11",
        "last_updated": "2020-09-11",
        "certification_date": "2020-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "AZ",
            "license": "17315",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "17315",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "17315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.