Active NPI
Cheryl T Palazza Demaio, LPC
- Professional Counselor
- Mesa, AZ
National Provider Identifier
1811561715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 20099
- Practice address
- 564 S Rochester # 55
Mesa, AZ 85206-2135 - Phone
- (520) 559-6996
- NPI assigned
- May 14, 2021
- 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 | 20099 | AZ | Primary |
Addresses
Primary practice location
564 S Rochester # 55
Mesa, AZ 85206-2135
Mailing address
564 S Rochester
Mesa, AZ 85206-2135
Phone (520) 559-6996
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 |
|---|---|---|---|
| 20099 | AZ | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695859200000",
"number": "1811561715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "564 S ROCHESTER",
"city": "MESA",
"state": "AZ",
"postal_code": "852062135",
"telephone_number": "520-559-6996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "564 S ROCHESTER # 55",
"city": "MESA",
"state": "AZ",
"postal_code": "852062135",
"telephone_number": "520-559-6996"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALAZZA DEMAIO",
"first_name": "CHERYL",
"middle_name": "T",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-05-14",
"last_updated": "2023-09-28",
"certification_date": "2021-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AZ",
"license": "20099",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.