Individual provider Active NPI

Priscilla Macias, M.C.

  • Counselor
  • Phoenix, AZ
National Provider Identifier
1740432244
Registry record updated Oct 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
101Y00000X Issued in AZ
Practice address
138 W Monona Dr
14432 S. 43Rd Street, Phoenix, Az. 85044
Phoenix, AZ 85027-5962
Phone
(480) 840-5702
NPI assigned
Oct 15, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 101Y00000X AZ Primary

Addresses

Primary practice location

138 W Monona Dr
14432 S. 43Rd Street, Phoenix, Az. 85044
Phoenix, AZ 85027-5962

Mailing address

PO Box 71743
138 W. Monona Drive
Phoenix, AZ 85050-1013
Phone (480) 840-5702

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

LicenseStateTypeSpecialty
101Y00000XAZMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1224028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224028800000",
    "number": "1740432244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 71743",
            "address_2": "138 W. MONONA DRIVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850501013",
            "telephone_number": "480-840-5702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 W MONONA DR",
            "address_2": "14432 S. 43RD STREET, PHOENIX, AZ. 85044",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850275962",
            "telephone_number": "480-840-5702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACIAS",
        "first_name": "PRISCILLA",
        "name_prefix": "Ms.",
        "credential": "M.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-15",
        "last_updated": "2008-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AZ",
            "license": "101Y00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 15, 2008; 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.