Individual provider Active NPI

Marie Tueller, MED, LPC

  • Professional Counselor
  • Prescott, AZ
National Provider Identifier
1710412382
Registry record updated Jun 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC 16651 Issued in AZ
Practice address
819 W Gurley St
Prescott, AZ 86305-3613
Phone
(928) 910-2505
NPI assigned
Apr 20, 2017
Last updated
Jun 5, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2022

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 16651 AZ Primary

Addresses

Primary practice location

819 W Gurley St
Prescott, AZ 86305-3613

Mailing address

243 Lakewood Cir
Prescott, AZ 86301-5499
Phone (928) 910-2505

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
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
LPC 16651AZMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Honeybee Healing & Counseling Services, LLC Professional CurrentSince Feb 1, 2020 Accepting new patients

Locations

1490 W Gurley St
Ste C
Prescott, AZ 86305

240 S Montezuma St
Ste 206
Prescott, AZ 86303
Phone (520) 921-0118

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1492646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654387200000",
    "number": "1710412382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 LAKEWOOD CIR",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863015499",
            "telephone_number": "928-910-2505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 W GURLEY ST",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863053613",
            "telephone_number": "928-910-2505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUELLER",
        "first_name": "MARIE",
        "credential": "MED, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-20",
        "last_updated": "2022-06-05",
        "certification_date": "2022-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC 16651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2022; 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.