Individual provider Active NPI

Michael Rayes

  • Professional Counselor
  • Glendale, AZ
National Provider Identifier
1629409289
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-17155 Issued in AZ
Practice address
7121 W Bell Rd Ste 115
Glendale, AZ 85308-8555
Phone
(602) 599-2000
Fax
(602) 599-2009
NPI assigned
Dec 9, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LISAC-15078 AZ
Professional Counselor 101YP2500X LPC-17155 AZ Primary

Addresses

Primary practice location

7121 W Bell Rd Ste 115
Glendale, AZ 85308-8555

Mailing address

7121 W Bell Rd Ste 115
Glendale, AZ 85308-8555
Phone (602) 599-2000

Other identifiers 1

IdentifierTypeStateIssuer
408398MedicaidAZ

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
I20240109002371 AZ Practitioner - Mental Health Counselor 1951752682 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3842 E Thunderbird Rd
Suite 200
Phoenix, AZ 85032-5770
Phone (602) 599-2000

7121 W Bell Rd
Suite 115
Glendale, AZ 85308-8555
Phone (602) 599-2000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LISAC-15078AZMDAddiction (Substance Use Disorder) Counselor
LPC-17155AZMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Intercessory Counseling & Wellness, PLLC Addiction (Substance Use Disorder) CurrentSince Jan 1, 2024 Accepting new patients

Locations

7121 W Bell Rd
Ste 115
Glendale, AZ 85308
Phone (602) 599-2000

11225 N 28th Dr
Ste D111
Phoenix, AZ 85029
Phone (602) 599-2000

3842 E Thunderbird Rd
Ste 200
Phoenix, AZ 85032
Phone (602) 443-4423

Organizations & group practices 1

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": "1386547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1629409289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7121 W BELL RD STE 115",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088555",
            "telephone_number": "602-599-2000",
            "fax_number": "602-599-2009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7121 W BELL RD STE 115",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088555",
            "telephone_number": "602-599-2000",
            "fax_number": "602-599-2009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYES",
        "first_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-12-09",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "LISAC-15078",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-17155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "408398",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.