Individual provider Active NPI

Stephanie Peckham, LPC

  • Professional Counselor
  • Sun City West, AZ
National Provider Identifier
1578279105
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
23387 Issued in AZ
Practice address
13925 W Meeker Blvd Ste 9
Sun City West, AZ 85375-4431
Phone
(480) 780-3030
Fax
(480) 780-0406
NPI assigned
Jan 26, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LAC-20142 AZ
Professional Counselor 101YP2500X 23387 AZ Primary

Addresses

Primary practice location

13925 W Meeker Blvd Ste 9
Sun City West, AZ 85375-4431

Mailing address

7373 N Scottsdale Rd Ste D120
Scottsdale, AZ 85253-3506
Phone (480) 660-8757

Other practice location 1

201 W Guadalupe Rd Ste 301
Gilbert, AZ 85233-3333
Phone (480) 870-8080

Other practice location 2

5757 W Thunderbird Rd Ste E454
Glendale, AZ 85306-4646
Phone (480) 870-3010

Other practice location 3

7373 N Scottsdale Rd Ste D120
Scottsdale, AZ 85253-3506
Phone (480) 660-8757

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
I20251016003700 AZ Practitioner - Mental Health Counselor 6103313614 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Escalera Health LLCGroup PAC ID 1951650985, 55 clinicians

Practice addresses (Care Compare)

13925 W Meeker Blvd
Suite 9
Sun City West, AZ 85375-4431
Phone (480) 780-3030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LAC-20142AZMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Escalera Health LLC CurrentSince Oct 20, 2025 Accepting new patients
Change Academy at Lake of the Ozarks Past Accepting new patients

Locations

201 W Guadalupe Rd
Ste 301
Gilbert, AZ 85233
Phone (480) 870-8080

5757 W Thunderbird Rd
Ste E454
Glendale, AZ 85306
Phone (480) 870-3010

13925 W Meeker Blvd
Ste 9
Sun City West, AZ 85375
Phone (480) 780-3030

2850 N Country Club Rd
Tucson, AZ 85716
Phone 52032262747104

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1674691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1578279105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7373 N SCOTTSDALE RD STE D120",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852533506",
            "telephone_number": "480-660-8757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13925 W MEEKER BLVD STE 9",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853754431",
            "telephone_number": "480-780-3030",
            "fax_number": "480-780-0406"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 W Guadalupe Rd Ste 301",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852333333",
            "country_code": "US",
            "telephone_number": "480-870-8080",
            "fax_number": "480-999-4707",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5757 W Thunderbird Rd Ste E454",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853064646",
            "country_code": "US",
            "telephone_number": "480-870-3010",
            "fax_number": "480-716-6990",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7373 N Scottsdale Rd Ste D120",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852533506",
            "country_code": "US",
            "telephone_number": "480-660-8757",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PECKHAM",
        "first_name": "STEPHANIE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-26",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AZ",
            "license": "LAC-20142",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "23387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City West, AZ

Sources for this page

Verify at the official NPI Registry.