Coreen Marie Talbot, MA, LAC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LAC-13450 Issued in AZ

Practice address

4201 N 16TH St Ste 250
Phoenix, AZ 85016-5375

Phone

(602) 248-9247

Fax

(602) 248-8936

NPI assigned

Jun 29, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Phoenix Wellness Center

  • Mental Health Counselor
  • Phoenix, AZ
  • NPI 1194232512
  NPD (past)
• Phoenix Wellness Center LLC

  • Mental Health Counselor
  • Phoenix, AZ
  • NPI 1720572043
  NPD (past)

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

{
    "created_epoch": "1277769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277769600000",
    "number": "1811208432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 N 16TH ST STE 250",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850165375",
            "telephone_number": "602-248-9247",
            "fax_number": "602-248-8936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 N 16TH ST STE 250",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850165375",
            "telephone_number": "602-248-9247",
            "fax_number": "602-248-8936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALBOT",
        "first_name": "COREEN",
        "middle_name": "MARIE",
        "credential": "MA, LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-29",
        "last_updated": "2010-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LAC-13450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emma Talamantes
• Maggie Talamantes
• Talas Harbor at Buckeye, LLC
• Kischea E Talbert, RN
• Chad Lamar Talbot, DO
• Teresa Talbot, NP
• Carol Leslie Talbott, NP
• Leah Taliaferro, PHARMD
• Basim Taliani, OD
• Sarahy Talin Leon, RBT

• Mental Health Counselor in Phoenix, AZ
• Providers in Phoenix, 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 Jun 29, 2010; 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.