Individual provider Active NPI

Heather Annelise Noulis, LPC-MHSP, MPA

  • Professional Counselor
  • Mesa, AZ
National Provider Identifier
1710801329
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-24276 Issued in AZ
Practice address
3322 S Ellsworth Rd
Mesa, AZ 85212-2730
Phone
(480) 780-0211
NPI assigned
Aug 6, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 5995 TN
Professional Counselor 101YP2500X LPC-24276 AZ Primary

Addresses

Primary practice location

3322 S Ellsworth Rd
Mesa, AZ 85212-2730

Mailing address

9722 S 45TH Ave
Laveen, AZ 85339-2099
Phone (631) 745-4618

Other practice location 1

15170 N Hayden Rd Ste 1
Scottsdale, AZ 85260-2571
Phone (480) 500-9718

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

NPI Registry JSON

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

{
    "created_epoch": "1785974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1710801329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9722 S 45TH AVE",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853392099",
            "telephone_number": "631-745-4618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3322 S ELLSWORTH RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852122730",
            "telephone_number": "480-780-0211"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15170 N Hayden Rd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852602571",
            "country_code": "US",
            "telephone_number": "480-500-9718",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOULIS",
        "first_name": "HEATHER",
        "middle_name": "ANNELISE",
        "credential": "LPC-MHSP, MPA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-06",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "5995",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-24276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2026; 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.