Individual provider Active NPI

Elyse Finocchio, LAC

  • Professional Counselor
  • Sun City, AZ
National Provider Identifier
1780296087
Registry record updated Jun 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LAC-20697 Issued in AZ
Practice address
12202 N 101St Ave RM a
Sun City, AZ 85351-3543
Phone
(682) 502-0698
NPI assigned
Aug 18, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LAC-20697 AZ Primary

Addresses

Primary practice location

12202 N 101St Ave RM a
Sun City, AZ 85351-3543

Mailing address

5156 W Olive Ave # 437
Glendale, AZ 85302-4205
Phone (602) 502-0698

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
LAC-20697AZMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1597708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718755200000",
    "number": "1780296087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5156 W OLIVE AVE # 437",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853024205",
            "telephone_number": "602-502-0698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12202 N 101ST AVE RM A",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853513543",
            "telephone_number": "682-502-0698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FINOCCHIO",
        "first_name": "ELYSE",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-18",
        "last_updated": "2024-06-19",
        "certification_date": "2020-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LAC-20697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2024; 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.