Bernice Ann Macias, MA, LPC, LISAC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC-12397 Issued in AZ

Practice address

18001 N 79TH Ave
Suite B45
Glendale, AZ 85308-8388

Phone

(623) 221-3466

Fax

(623) 334-6724

NPI assigned

Feb 15, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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.

• Arrowhead Family Systems LLC

  • Marriage & Family Therapist
  • Glendale, AZ
  • NPI 1487014833
  NPD (past)

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

{
    "created_epoch": "1203033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238976000000",
    "number": "1740458405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 546",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853800546",
            "telephone_number": "623-221-3466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18001 N 79TH AVE",
            "address_2": "SUITE B45",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088388",
            "telephone_number": "623-221-3466",
            "fax_number": "623-334-6724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACIAS",
        "first_name": "BERNICE",
        "middle_name": "ANN",
        "credential": "MA, LPC, LISAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-15",
        "last_updated": "2009-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "LISAC-10993",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-12397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Luke Macdonald, MSOTR/L
• Colleen Yvonne Mace
• Brian A Mach, OD
• Tich-Hao Mach, MD
• Alyssa Macias
• Neely Nicole Mack
• Thomas Michael Mack, DDS
• Brittany Mackay, BS
• James Scott Mackenzie, M.D.
• Jeanette Maclean, D.D.S.

• Professional Counselor in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Professional Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2009; 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.