Individual provider Active NPI

Adele Furby, LPC

  • Mental Health Counselor
  • Camp Verde, AZ
National Provider Identifier
1740477538
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC-17162 Issued in AZ
Practice address
567 E Quarterhorse LN
Camp Verde, AZ 86322-6808
Phone
(928) 592-2959
NPI assigned
Sep 26, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC-17162 AZ Primary

Addresses

Primary practice location

567 E Quarterhorse LN
Camp Verde, AZ 86322-6808

Mailing address

567 E Quarterhorse LN
Camp Verde, AZ 86322-6808
Phone (928) 592-2959

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
I20240221001913 AZ Practitioner - Mental Health Counselor 0648614313 Practice locations: Camp Verde, AZ

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

567 E Quarterhorse LN
Camp Verde, AZ 86322-6808
Phone (928) 592-2959

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC-17162AZMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Adele Furby LPC PLLC Mental Health CurrentSince Dec 17, 2023 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": "1190764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701820800000",
    "number": "1740477538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "567 E QUARTERHORSE LN",
            "city": "CAMP VERDE",
            "state": "AZ",
            "postal_code": "863226808",
            "telephone_number": "928-592-2959",
            "fax_number": "928-567-8645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "567 E QUARTERHORSE LN",
            "city": "CAMP VERDE",
            "state": "AZ",
            "postal_code": "863226808",
            "telephone_number": "928-592-2959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FURBY",
        "first_name": "ADELE",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-26",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LPC-17162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camp Verde, AZ

Sources for this page

Verify at the official NPI Registry.