Individual provider Active NPI

Adra Helmich

  • Professional Counselor
  • Peoria, AZ
National Provider Identifier
1750836631
Registry record updated Nov 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC17256 Issued in AZ
Practice address
21461 N 104TH Dr
Peoria, AZ 85382-0579
Phone
(480) 313-3657
NPI assigned
Aug 19, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LAC-15509 AZ
Professional Counselor 101YP2500X LPC17256 AZ Primary

Addresses

Primary practice location

21461 N 104TH Dr
Peoria, AZ 85382-0579

Mailing address

21461 N 104TH Dr
Peoria, AZ 85382-0579

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
I20240104000756 AZ Practitioner - Mental Health Counselor 8123479185 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LAC-15509AZMDProfessional Counselor
LPC17256AZMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
County of Yavapai Current Accepting new patients
Adelante Healthcare, Inc. CurrentSince Jan 1, 2024 Accepting new patients
County of Yavapai Current Accepting new patients
Adelante Healthcare, Inc. Current Accepting new patients
Adelante Healthcare, Inc CurrentSince Jan 1, 2024 Accepting new patients
County of Yavapai CurrentSince Dec 16, 2024 Accepting new patients
County of Yavapai CurrentSince Dec 16, 2024 Accepting new patients
Adelante Healthcare, Inc. Past Accepting new patients

Locations

306 E Monroe Ave
Buckeye, AZ 85326
Phone (623) 386-4814

13471 W Cornerstone Blvd
Goodyear, AZ 85395

1705 W Main St
Mesa, AZ 85201
Phone (480) 845-6769

15525 N 83rd Ave
Ste 104
Peoria, AZ 85382

500 W Thomas Rd
Ste 870
Phoenix, AZ 85013
Phone (602) 263-0222

3033 N Central Ave
Ste 145
Phoenix, AZ 85012

9610 N Metro Pkwy W
Phoenix, AZ 85051
Phone (602) 710-7487

1090 Commerce Dr
Prescott, AZ 86305
Phone (928) 583-1000

3212 N Windsong Dr
Prescott Valley, AZ 86314
Phone (928) 771-3377

15317 W Bell Rd
Ste 106
Surprise, AZ 85374
Phone (623) 544-5190

15317 W Bell Rd
Ste 100
Surprise, AZ 85374

15351 W Bell Rd
Surprise, AZ 85374

811 N Tegner St
Ste 113
Wickenburg, AZ 85390

Interoperability endpoints

  • Direct secure messaging: adra.helmich.p1@direct.ycchs.nextgenshare.com

Organizations & group practices 8

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": "1471564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1750836631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21461 N 104TH DR",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853820579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21461 N 104TH DR",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853820579",
            "telephone_number": "480-313-3657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HELMICH",
        "first_name": "ADRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-19",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LAC-15509",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC17256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

Verify at the official NPI Registry.