Individual provider Active NPI

Daisy Morales, LPC

  • Professional Counselor
  • Saint Johns, AZ
National Provider Identifier
1669083473
Registry record updated Aug 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC19120 Issued in AZ
Practice address
470 W Cleveland St
Saint Johns, AZ 85936-4501
Phone
(928) 337-4301
Fax
(928) 337-2269
NPI assigned
Aug 14, 2020
Last updated
Aug 14, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2020

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 LPC19120 AZ Primary

Addresses

Primary practice location

470 W Cleveland St
Saint Johns, AZ 85936-4501

Mailing address

PO Box 579
Saint Johns, AZ 85936-0579
Phone (928) 337-4301

Other practice location 1

50 North Hopi Street
Springerville, AZ 85938
Phone (928) 333-2683

Other identifiers 1

IdentifierTypeStateIssuer
LPC19120OtherAZSTATE OF ARIZONA LICENSE

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240108005609 AZ Practitioner - Mental Health Counselor 9133570724 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

50 N Hopi St
Springerville, AZ 85938-5221
Phone (928) 333-2683

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC19120AZMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Little Colorado Behavioral Health Center Inc. CurrentSince Jan 1, 2024 Accepting new patients
Little Colorado Behavioral Health Center Inc. CurrentSince Jan 1, 2024 Accepting new patients
Little Colorado Behavioral Health Center Inc. Professional Past Accepting new patients

Locations

1855 W Baseline Rd
Ste 101
Mesa, AZ 85202

Interoperability endpoints

  • Direct secure messaging: daisy.moraleslpc.p1@direct.cbridges.nextgenshare.com

Organizations & group practices 3

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": "1597363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597363200000",
    "number": "1669083473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 579",
            "city": "SAINT JOHNS",
            "state": "AZ",
            "postal_code": "859360579",
            "telephone_number": "928-337-4301",
            "fax_number": "928-337-2269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 W CLEVELAND ST",
            "city": "SAINT JOHNS",
            "state": "AZ",
            "postal_code": "859364501",
            "telephone_number": "928-337-4301",
            "fax_number": "928-337-2269"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50 North Hopi Street",
            "address_purpose": "LOCATION",
            "city": "Springerville",
            "state": "AZ",
            "postal_code": "85938",
            "country_code": "US",
            "telephone_number": "928-333-2683",
            "fax_number": "928-333-5595",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORALES",
        "first_name": "DAISY",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-14",
        "last_updated": "2020-08-14",
        "certification_date": "2020-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC19120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF ARIZONA LICENSE",
            "identifier": "LPC19120",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Johns, AZ

Sources for this page

Verify at the official NPI Registry.