Active NPI
Mary Armentrout
- Marriage & Family Therapist
- Prescott, AZ
National Provider Identifier
1497525265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LAMFT-08038T
- Practice address
- 510 E Moeller St
Prescott, AZ 86301-2612 - Phone
- (928) 420-8300
- NPI assigned
- Jan 3, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LAMFT-08038T | AZ | Primary |
Addresses
Primary practice location
510 E Moeller St
Prescott, AZ 86301-2612
Mailing address
19888 E Sunset Dr
Queen Creek, AZ 85142-3332
Phone (480) 282-0132
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LAMFT-08038T | AZ | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705968000000",
"number": "1497525265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19888 E SUNSET DR",
"city": "QUEEN CREEK",
"state": "AZ",
"postal_code": "851423332",
"telephone_number": "480-282-0132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 E MOELLER ST",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863012612",
"telephone_number": "928-420-8300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARMENTROUT",
"first_name": "MARY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-03",
"last_updated": "2024-01-23",
"certification_date": "2024-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "AZ",
"license": "LAMFT-08038T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Prescott, AZ
- Arizona Medical Eqiupment and Supply LLC
- Arizona Medical Equipment & Supply LLC
- Arizona Orthopedic Physical Therapy, PLLC
- Arizona Speech, Language, & Literacy, Inc.
- Arizona Support Services and Intensive Skills Training, Inc.
- Susan B Armstrong, LPC
- Darlene Beth Arnold, RN
- Elizabeth Arnold, RN
- Natalie Devin Arnold, SLP-CFY
- Tracy Lynn Arnold, RDH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.