Active NPI
Maria Avena, MA LPC
- Counselor
- Phoenix, AZ
National Provider Identifier
1740717024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 16461
- Practice address
- 1209 S 1St Ave
Phoenix, AZ 85003-2605 - Phone
- (602) 258-6796
- Fax
- (602) 254-7121
- NPI assigned
- May 17, 2017
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 16461 | AZ | Primary |
Addresses
Primary practice location
1209 S 1St Ave
Phoenix, AZ 85003-2605
Mailing address
1209 S 1St Ave
Phoenix, AZ 85003-2605
Phone (602) 258-6797
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16461 | AZ | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1740717024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1209 S 1ST AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850032605",
"telephone_number": "602-258-6797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1209 S 1ST AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850032605",
"telephone_number": "602-258-6796",
"fax_number": "602-254-7121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AVENA",
"first_name": "MARIA",
"credential": "MA LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-05-17",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "AZ",
"license": "16461",
"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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.