Misty Adame LPC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

LPC14458 Issued in AZ

Legal business name

MISTY ADAME LPC

Practice address

21000 N 75TH Ave
Glendale, AZ 85308-9622

Phone

(602) 403-1988

NPI assigned

Jul 28, 2014

Organization subpart

No

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

Authorized official

Name

Misty D Adame, LPC

Title

Child and Family Therapist

Phone

(602) 403-1988

Specialties & licenses 1

Addresses

Medicare enrollment (NPD)

Not enrolled

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1406505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406505600000",
    "number": "1689082265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21000 N 75TH AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853089622",
            "telephone_number": "602-403-1988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21000 N 75TH AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853089622",
            "telephone_number": "602-403-1988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISTY ADAME LPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-28",
        "last_updated": "2014-07-28",
        "status": "A",
        "authorized_official_last_name": "ADAME",
        "authorized_official_first_name": "MISTY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CHILD AND FAMILY THERAPIST",
        "authorized_official_telephone_number": "602-403-1988",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "AZ",
            "license": "LPC14458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.