Active NPI
Linda Guadalupe Flores, LAC
- Mental Health Counselor
- Tempe, AZ
National Provider Identifier
1669936159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LAC-17590
- Practice address
- 2120 S McClintock Dr Ste 105
Tempe, AZ 85282-2692 - Phone
- (480) 804-0326
- Fax
- (480) 804-0083
- NPI assigned
- Jan 29, 2019
- 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 | LAC-17590 | AZ | Primary |
Addresses
Primary practice location
2120 S McClintock Dr Ste 105
Tempe, AZ 85282-2692
Mailing address
1400 E Southern Ave Ste 735
Tempe, AZ 85282-5699
Phone (480) 804-0083
Other practice location 1
10799 N 90th St Ste 100
Scottsdale, AZ 85260-6110
Phone (480) 804-0083
Other practice location 2
1828 E Florence Blvd Bldg C
Casa Grande, AZ 85122-4783
Phone (480) 804-0326 ext. 48080
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LAC-17590 | Other | AZ | LICENSE |
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 |
|---|---|---|---|
| LAC-17590 | AZ | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crisis Preparation and Recovery, Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Tempe, AZ
- NPI 1265997134
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548720000000",
"number": "1669936159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 E SOUTHERN AVE STE 735",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852825699",
"telephone_number": "480-804-0083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2120 S MCCLINTOCK DR STE 105",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852822692",
"telephone_number": "480-804-0326",
"fax_number": "480-804-0083"
}
],
"practiceLocations": [
{
"address_1": "10799 N 90th St Ste 100",
"address_purpose": "LOCATION",
"city": "Scottsdale",
"state": "AZ",
"postal_code": "852606110",
"country_code": "US",
"telephone_number": "480-804-0083",
"fax_number": "480-804-0083",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1828 E Florence Blvd Bldg C",
"address_purpose": "LOCATION",
"city": "Casa Grande",
"state": "AZ",
"postal_code": "851224783",
"country_code": "US",
"telephone_number": "480-804-0326 x48080",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FLORES",
"first_name": "LINDA",
"middle_name": "GUADALUPE",
"credential": "LAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-29",
"last_updated": "2019-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AZ",
"license": "LAC-17590",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "LAC-17590",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.