Active NPI
Gracie Gonzalez Padilla, LAC
- Counselor
- Phoenix, AZ
National Provider Identifier
1700670296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- LAC18649
- Practice address
- 7125 S 7TH St
Phoenix, AZ 85042-4245 - Phone
- (602) 999-2400
- NPI assigned
- Apr 8, 2025
- Sex
- Unspecified or another gender identity
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | LAC18649 | AZ | Primary |
Addresses
Primary practice location
7125 S 7TH St
Phoenix, AZ 85042-4245
Mailing address
7125 S 7TH St
Phoenix, AZ 85042-4245
Phone (602) 999-2400
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 |
|---|---|---|---|
| LAC18649 | AZ | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1744070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744070400000",
"number": "1700670296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7125 S 7TH ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850424245",
"telephone_number": "602-999-2400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7125 S 7TH ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850424245",
"telephone_number": "602-999-2400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PADILLA",
"first_name": "GRACIE",
"middle_name": "GONZALEZ",
"credential": "LAC",
"sole_proprietor": "YES",
"sex": "X",
"enumeration_date": "2025-04-08",
"last_updated": "2025-04-08",
"certification_date": "2025-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "AZ",
"license": "LAC18649",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.