Individual provider Active NPI

Dixie F. Ciccarelli, MACE, MAPC, LPC, ATR

  • Counselor
  • Phoenix, AZ
National Provider Identifier
1710175351
Registry record updated Apr 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LPC13639 Issued in AZ
Practice address
4202 E Sheena Dr
Phoenix, AZ 85032-5809
Phone
(602) 397-8280
Fax
(602) 249-8103
NPI assigned
Oct 9, 2007
Last updated
Apr 11, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LPC13639 AZ Primary

Addresses

Primary practice location

4202 E Sheena Dr
Phoenix, AZ 85032-5809

Mailing address

4202 E Sheena Dr
Phoenix, AZ 85032-5809
Phone (602) 397-8280

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

LicenseStateTypeSpecialty
LPC13639AZMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302480000000",
    "number": "1710175351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4202 E SHEENA DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850325809",
            "telephone_number": "602-397-8280",
            "fax_number": "602-249-8103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4202 E SHEENA DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850325809",
            "telephone_number": "602-397-8280",
            "fax_number": "602-249-8103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CICCARELLI",
        "first_name": "DIXIE",
        "middle_name": "F.",
        "name_prefix": "Mrs.",
        "credential": "MACE, MAPC, LPC, ATR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-09",
        "last_updated": "2011-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AZ",
            "license": "LPC13639",
            "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 11, 2011; 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.