Adrienne Rene McGonigle

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

10320 W McDowell Rd Ste 7022
Avondale, AZ 85392-4871

Phone

(480) 641-1165

NPI assigned

Mar 18, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Previously, effective Aug 9, 2024 through Aug 9, 2026

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Lifeline Professional Counseling Services, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Avondale, AZ
  • NPI 1497229314
  NPD (past)

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

{
    "created_epoch": "1584489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584489600000",
    "number": "1710513049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6173 W PONTIAC DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853086783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10320 W MCDOWELL RD STE 7022",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853924871",
            "telephone_number": "480-641-1165"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17235 N 75th Ave Ste F100",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853080871",
            "country_code": "US",
            "telephone_number": "480-641-1165 x3",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCGONIGLE",
        "first_name": "ADRIENNE",
        "middle_name": "RENE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-18",
        "last_updated": "2020-03-18",
        "certification_date": "2020-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melinda McCullin, LAC
• Sabrina McCurrey
• Arthur Albert McDonald II, FNP
• Patsy Jean McFadden, LISAC
• Melissa Denyse McGill, SLPA
• Crystal McGoodwin
• Timothy McKay
• Brianna McKenna
• Samantha McKenna
• Tina McKenzie, M.D.

• Mental Health Counselor in Avondale, AZ
• Providers in Avondale, AZ by specialty
• Mental Health Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.