Adame Family Counseling & Wellness

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC-14458 Issued in AZ

Legal business name

ADAME FAMILY COUNSELING & WELLNESS

Practice address

21448 N 75TH Ave Ste 11
Glendale, AZ 85308-5978

Phone

(623) 572-8053

NPI assigned

Aug 9, 2016

Last updated

Aug 9, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Misty D Adame, LPC NCC TADNPI 1851931844

Title

Clinical Director/Owner

Phone

(623) 572-8053

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Misty D Adame, EDD LPC

  • Mental Health Counselor
  • Glendale, AZ
  • NPI 1851931844
  Authorized official Same address or phone
• Gena Kohner, LPC, MPC

  • Professional Counselor
  • Glendale, AZ
  • NPI 1083068415
  NPD (past)
• Kristi Proch, LAC

  • Counselor
  • Glendale, AZ
  • NPI 1417301086
  NPD (past)

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

{
    "created_epoch": "1470700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470700800000",
    "number": "1801340690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21448 N 75TH AVE STE 11",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853085978",
            "telephone_number": "623-572-8053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21448 N 75TH AVE STE 11",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853085978",
            "telephone_number": "623-572-8053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADAME FAMILY COUNSELING & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-09",
        "last_updated": "2016-08-09",
        "status": "A",
        "authorized_official_last_name": "ADAME",
        "authorized_official_first_name": "MISTY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR/OWNER",
        "authorized_official_telephone_number": "623-572-8053",
        "authorized_official_credential": "LPC NCC TAD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LPC-14458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryan Acosta, M.S., CCC-SLP
• Emily Marie Acosta
• Jo-Ali Milan Acosta, SLPA
• Acs Medical Transportation LLC
• Ad & Ad Family Dentists, PLLC (A & A Family Dentists)
• Jesse Adame
• Misty D Adame, EDD LPC
• Azure Adams, LPC
• Crystal Adams
• Cynthia Adams, MA, PRACTIONER

• Mental Health Counselor in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Mental Health Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2016; 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.