Individual provider Active NPI

Michaela Quinley, MC, LAC

  • Professional Counselor
  • Scottsdale, AZ
National Provider Identifier
1659066561
Registry record updated Apr 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
7420 E Camelback Rd Ste 101
Scottsdale, AZ 85251-3509
Phone
(480) 256-2605
Fax
(480) 297-0100
NPI assigned
Apr 6, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

7420 E Camelback Rd Ste 101
Scottsdale, AZ 85251-3509

Mailing address

111 Hekili St Ste A241
Kailua, HI 96734-2800
Phone (480) 256-2605

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1959 S Power Rd
Mesa, AZ 85206-3759

8648 E Nora St
Mesa, AZ 85207-1402

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sea Glass Mental Health Inc Professional CurrentSince Apr 9, 2023 Accepting new patients
Kona Counseling PC Professional Past Accepting new patients

Locations

7420 E Camelback Rd
Ste 101
Scottsdale, AZ 85251
Phone (480) 256-2605

111 Hekili St
Ste A241
Kailua, HI 96734

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": "1680739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680739200000",
    "number": "1659066561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 HEKILI ST STE A241",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342800",
            "telephone_number": "480-256-2605",
            "fax_number": "480-297-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7420 E CAMELBACK RD STE 101",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852513509",
            "telephone_number": "480-256-2605",
            "fax_number": "480-297-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINLEY",
        "first_name": "MICHAELA",
        "credential": "MC, LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-06",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.