Individual provider Active NPI

Roxanne Kaye Williford, MC, LPC

  • Professional Counselor
  • Peoria, AZ
National Provider Identifier
1710168356
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-10178 Issued in AZ
Practice address
8155 W Thunderbird Rd
Peoria, AZ 85381-4159
Phone
(623) 290-1000
NPI assigned
Nov 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

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-10178 AZ Primary

Addresses

Primary practice location

8155 W Thunderbird Rd
Peoria, AZ 85381-4159

Mailing address

8155 W Thunderbird Rd
Peoria, AZ 85381-4159
Phone (623) 290-1000

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
I20250313003783 AZ Practitioner - Mental Health Counselor 5991227456 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC-10178AZMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Fusion Care Group, a Psychological Professional Corporation CurrentSince Mar 1, 2025 Accepting new patients

Locations

7254 E Southern Ave
Ste 106
Mesa, AZ 85209
Phone (505) 270-6677

14001 N 7th St
Ste B104
Phoenix, AZ 85022
Phone (602) 300-1508

2271 Alpine Blvd
Ste A
Alpine, CA 91901
Phone (619) 289-7322

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.

NPI Registry JSON

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

{
    "created_epoch": "1196035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1710168356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8155 W THUNDERBIRD RD",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814159",
            "telephone_number": "623-290-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8155 W THUNDERBIRD RD",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814159",
            "telephone_number": "623-290-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIFORD",
        "first_name": "ROXANNE",
        "middle_name": "KAYE",
        "name_prefix": "Mrs.",
        "credential": "MC, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-26",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-10178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

Verify at the official NPI Registry.