Active NPI
Mercy Warigia Mwangi, ED D BH
- Professional Counselor
- Glendale, AZ
National Provider Identifier
1497360895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 17315
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17315 | AZ | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elite Care Wellness LLC | Current | Accepting new patients | |
| Elite Care Wellness LLC | Past | 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.
-
- Health Service Clinic/Center
- Phoenix, AZ
- NPI 1760162481
-
- Adult Mental Health Clinic/Center
- Phoenix, AZ
- NPI 1396542353
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.