Active NPI
Annette Theresa Hill Puccia, LPC
- Professional Counselor
- Phoenix, AZ
National Provider Identifier
1801034996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC-13156
- Practice address
- 1 E Coral Gables Dr
Phoenix, AZ 85022-3603 - Phone
- (602) 334-5147
- Fax
- (602) 867-0232
- NPI assigned
- Jan 27, 2009
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC-13156 | AZ | Primary |
Addresses
Primary practice location
1 E Coral Gables Dr
Phoenix, AZ 85022-3603
Mailing address
1 E Coral Gables Dr
Phoenix, AZ 85022-3603
Phone (602) 334-5147
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
| License | State | Type | Specialty |
|---|---|---|---|
| LPC-13156 | AZ | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Warriors Healing Center, LLC | Past | 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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1233014400000",
"number": "1801034996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 E CORAL GABLES DR",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850223603",
"telephone_number": "602-334-5147",
"fax_number": "602-867-0232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 E CORAL GABLES DR",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850223603",
"telephone_number": "602-334-5147",
"fax_number": "602-867-0232"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILL PUCCIA",
"first_name": "ANNETTE",
"middle_name": "THERESA",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-01-27",
"last_updated": "2009-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AZ",
"license": "LPC-13156",
"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 Jan 27, 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.