Active NPI
Michael Raimondi
- Mental Health Counselor
- Phoenix, AZ
National Provider Identifier
1720446537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPC 1449
- Practice address
- 2301 W Dunlap Ave Ste 101
Phoenix, AZ 85021-2845 - Phone
- (602) 737-9111
- NPI assigned
- Feb 8, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPC 1449 | AZ | Primary |
Addresses
Primary practice location
2301 W Dunlap Ave Ste 101
Phoenix, AZ 85021-2845
Mailing address
2301 W Dunlap Ave Ste 101
Phoenix, AZ 85021-2845
Phone (602) 737-9111
Other practice location 1
5010 E Shea Blvd Ste D202
Scottsdale, AZ 85254-4570
Phone (602) 569-4328
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720446532 | Other | AZ | MENTAL HEALTH |
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
| License | State | Type | Specialty |
|---|---|---|---|
| LPC 1449 | AZ | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549238400000",
"number": "1720446537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2301 W DUNLAP AVE STE 101",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850212845",
"telephone_number": "602-737-9111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2301 W DUNLAP AVE STE 101",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850212845",
"telephone_number": "602-737-9111"
}
],
"practiceLocations": [
{
"address_1": "5010 E Shea Blvd Ste D202",
"address_purpose": "LOCATION",
"city": "Scottsdale",
"state": "AZ",
"postal_code": "852544570",
"country_code": "US",
"telephone_number": "602-569-4328",
"fax_number": "602-569-4378",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RAIMONDI",
"first_name": "MICHAEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-02-08",
"last_updated": "2019-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AZ",
"license": "LPC 1449",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MENTAL HEALTH",
"identifier": "1720446532",
"state": "AZ"
}
],
"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 Feb 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.