Active NPI
Adia Visolela Plourd, PSYD, LAC
- Mental Health Counselor
- Glendale, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LAC-20991
- Practice address
- 7155 W Campo Bello Dr Ste B110
Glendale, AZ 85308-8594 - Phone
- (623) 218-6030
- Fax
- (623) 218-6230
- NPI assigned
- Jun 25, 2022
- Last updated
- Feb 7, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LAC-20991 | AZ | Primary |
| Counseling Psychologist | 103TC1900X |
Addresses
Primary practice location
7155 W Campo Bello Dr Ste B110
Glendale, AZ 85308-8594
Mailing address
318 S 116TH Ave
Avondale, AZ 85323-1780
Phone (602) 391-6527
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251006002346 | AZ | Practitioner - Mental Health Counselor | 1759887946 | Practice locations: Peoria, AZ |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
318 S 116TH Ave
Avondale, AZ 85323-1780
9401 W Thunderbird Rd
Suite 187
Peoria, AZ 85381-4210
Phone (602) 935-4084
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LAC-20991 | AZ | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healing Through Connection | Current | Accepting new patients | |
| Transformative Counseling and Trauma Healing Services, LLC | Mental Health | Current | Accepting new patients |
Locations
7155 W Campo Bello Dr
Ste B110
Glendale, AZ 85308
Phone (623) 218-6030
9401 W Thunderbird Rd
Ste 187
Peoria, AZ 85381
Phone (602) 473-8284
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Glendale, AZ
- NPI 1619730082
-
- Mental Health Counselor
- Glendale, AZ
- NPI 1932728748
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707264000000",
"number": "1659003010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "318 S 116TH AVE",
"city": "AVONDALE",
"state": "AZ",
"postal_code": "853231780",
"telephone_number": "602-391-6527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7155 W CAMPO BELLO DR STE B110",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853088594",
"telephone_number": "623-218-6030",
"fax_number": "623-218-6230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLOURD",
"first_name": "ADIA",
"middle_name": "VISOLELA",
"name_prefix": "Dr.",
"credential": "PSYD, LAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-06-25",
"last_updated": "2024-02-07",
"certification_date": "2024-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AZ",
"license": "LAC-20991",
"primary": true
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.