Individual provider Active NPI

Valerie Lee Wilson, LMT, MA, LPC

  • Professional Counselor
  • Mesa, AZ
National Provider Identifier
1699390856
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-18815 Issued in AZ
Practice address
7205 E Southern Ave Ste 103
Mesa, AZ 85209-2791
Phone
(480) 687-4321
Fax
(480) 546-3901
NPI assigned
Jun 13, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

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 LPC-18815 AZ Primary

Addresses

Primary practice location

7205 E Southern Ave Ste 103
Mesa, AZ 85209-2791

Mailing address

7205 E Southern Ave Ste 103
Mesa, AZ 85209-2791
Phone (480) 687-4321

Other practice location 1

2869 W Tanner Ranch Rd
Queen Creek, AZ 85142-4724
Phone (480) 455-7742

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
I20251007004296 AZ Practitioner - Mental Health Counselor 1951808856 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2869 W Tanner Ranch Rd
San Tan Valley, AZ 85144-4724

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Refined Mental Health and Wellness PLLC Professional CurrentSince Aug 21, 2025 Accepting new patients
Professional Counseling Associates, LLC Professional PastSince Jun 1, 2020 Accepting new patients
Arizona Psychology Consultants, Inc. Professional PastSince Jun 1, 2020 Accepting new patients

Locations

7205 E Southern Ave
Ste 103
Mesa, AZ 85209
Phone (480) 687-4321

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1592006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1699390856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7205 E SOUTHERN AVE STE 103",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852092791",
            "telephone_number": "480-687-4321",
            "fax_number": "480-546-3901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7205 E SOUTHERN AVE STE 103",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852092791",
            "telephone_number": "480-687-4321",
            "fax_number": "480-546-3901"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2869 W Tanner Ranch Rd",
            "address_purpose": "LOCATION",
            "city": "Queen Creek",
            "state": "AZ",
            "postal_code": "851424724",
            "country_code": "US",
            "telephone_number": "480-455-7742",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "VALERIE",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "LMT, MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-13",
        "last_updated": "2024-06-24",
        "certification_date": "2024-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-18815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.