Active NPI
Mary Eileen Filippone, LAC
- Mental Health Counselor
- Mesa, AZ
National Provider Identifier
1659966927
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 14066
- Practice address
- 152 N Power Rd Ste 2
Mesa, AZ 85205-8436 - Phone
- (480) 542-2525
- NPI assigned
- Mar 8, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 14066 | AZ | Primary |
Addresses
Primary practice location
152 N Power Rd Ste 2
Mesa, AZ 85205-8436
Mailing address
15555 N Frank Lloyd Wright Blvd Apt 2014
Scottsdale, AZ 85260-2030
Phone (148) 052-1442
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 |
|---|---|---|---|
| 14066 | AZ | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615161600000",
"number": "1659966927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15555 N FRANK LLOYD WRIGHT BLVD APT 2014",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852602030",
"telephone_number": "148-052-1442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "152 N POWER RD STE 2",
"city": "MESA",
"state": "AZ",
"postal_code": "852058436",
"telephone_number": "480-542-2525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FILIPPONE",
"first_name": "MARY",
"middle_name": "EILEEN",
"name_prefix": "Ms.",
"credential": "LAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-08",
"last_updated": "2021-03-08",
"certification_date": "2021-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AZ",
"license": "14066",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.