Active NPI
Estelle Theresa Harrison, LPC
- Professional Counselor
- Show Low, AZ
National Provider Identifier
1659435550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC12265
- Practice address
- 531 S 2ND St
Show Low, AZ 85901-2735 - Phone
- (928) 245-1869
- NPI assigned
- Dec 22, 2006
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC12265 | AZ | Primary |
Addresses
Primary practice location
531 S 2ND St
Show Low, AZ 85901-2735
Mailing address
531 S 2ND St
Show Low, AZ 85901-2735
Phone (928) 245-1869
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LMHC 4865 | Other | WA | LIC MH COUNSELOR |
| NCC 22995 | Other | AZ | NAT CERT COUNSELOR |
| LPC 12265 | Other | AZ | LPC |
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 |
|---|---|---|---|
| LPC12265 | AZ | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1198713600000",
"number": "1659435550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "531 S 2ND ST",
"city": "SHOW LOW",
"state": "AZ",
"postal_code": "859012735",
"telephone_number": "928-245-1869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "531 S 2ND ST",
"city": "SHOW LOW",
"state": "AZ",
"postal_code": "859012735",
"telephone_number": "928-245-1869"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRISON",
"first_name": "ESTELLE",
"middle_name": "THERESA",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-22",
"last_updated": "2007-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AZ",
"license": "LPC12265",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LIC MH COUNSELOR",
"identifier": "LMHC 4865",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NAT CERT COUNSELOR",
"identifier": "NCC 22995",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LPC",
"identifier": "LPC 12265",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Show Low, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.