Maria J Birdsall, MS, LAC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

LAC-20630 Issued in AZ

Practice address

4864 E Baseline Rd Ste 106
Mesa, AZ 85206-4629

Phone

(480) 999-0458

NPI assigned

Jul 31, 2023

Last updated

Jul 31, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Previously, effective Aug 28, 2024 through Aug 28, 2026

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Building Bridges Collective, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Gilbert, AZ
  • NPI 1801607783
  NPD Authorized official
• Stories Counseling, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mesa, AZ
  • NPI 1720636392
  NPD

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

{
    "created_epoch": "1690761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690761600000",
    "number": "1619658838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "884 S ADAM WAY",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852961486",
            "telephone_number": "956-223-0726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4864 E BASELINE RD STE 106",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064629",
            "telephone_number": "480-999-0458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRDSALL",
        "first_name": "MARIA",
        "middle_name": "J",
        "credential": "MS, LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-31",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AZ",
            "license": "LAC-20630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shilpa Binstock, R.PH.
• Brian Bint
• Bio-Medical Applications of Arizona, LLC (Bma Red Mountain)
• Cameron Birch, DDS
• Cynthia Bird, LAC
• Judith M Bischoff, NP
• Karen L Bischoff, LPC
• Michael Stuart Biscoe, MD
• Heidi Jo Biship, RN
• Crista Rene Bishop, PH.D.

• Counselor in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.