Active NPI
Christine Rose Pemberton, LPC
- Counselor
- Phoenix, AZ
National Provider Identifier
1649518507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- LPC 13080
- Practice address
- 4037 E Cortez St
Phoenix, AZ 85028-2244 - Phone
- (602) 686-0425
- NPI assigned
- Jan 27, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | LPC 13080 | AZ | Primary |
Addresses
Primary practice location
4037 E Cortez St
Phoenix, AZ 85028-2244
Mailing address
4037 E Cortez St
Phoenix, AZ 85028-2244
Phone (602) 686-0425
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 |
|---|---|---|---|
| LPC 13080 | AZ | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359244800000",
"number": "1649518507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4037 E CORTEZ ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850282244",
"telephone_number": "602-686-0425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4037 E CORTEZ ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850282244",
"telephone_number": "602-686-0425"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEMBERTON",
"first_name": "CHRISTINE",
"middle_name": "ROSE",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-01-27",
"last_updated": "2013-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "AZ",
"license": "LPC 13080",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.