Individual provider Active NPI

Melissa Gallardo Zuniga

  • Professional Counselor
  • Glendale, AZ
National Provider Identifier
1720624901
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
23551 Issued in AZ
Practice address
PO Box 10727
Glendale, AZ 85318-0727
Phone
(623) 261-7124
NPI assigned
Nov 21, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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 23551 AZ Primary

Addresses

Primary practice location

PO Box 10727
Glendale, AZ 85318-0727

Mailing address

4314 S 104TH LN
Tolleson, AZ 85353-4178
Phone (623) 696-5752

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250114002915 AZ Practitioner - Mental Health Counselor 3678001930 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paramount Behavioral Health Services PLLCGroup PAC ID 4880957463, 11 clinicians

Practice addresses (Care Compare)

1631 W Burnside TRL
Phoenix, AZ 85085-8071
Phone (623) 225-6220

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
23551AZMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Paramount Behavioral Health Services PLLC CurrentSince Dec 21, 2024 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1574294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1720624901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4314 S 104TH LN",
            "city": "TOLLESON",
            "state": "AZ",
            "postal_code": "853534178",
            "telephone_number": "623-696-5752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 10727",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853180727",
            "telephone_number": "623-261-7124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUNIGA",
        "first_name": "MELISSA",
        "middle_name": "GALLARDO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-21",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "23551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.