Active NPI
Carol E Hurly, ED.D,LCPC
- Professional Counselor
- Peoria, AZ
National Provider Identifier
1821240649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- #3587
- Practice address
- 9728 W. Escuda Dr.
Peoria, AZ 85382-0950 - Phone
- (406) 240-0191
- NPI assigned
- Oct 13, 2008
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1095 | MT | |
| Mental Health Counselor | 101YM0800X | LH00009128 | WA | |
| Professional Counselor | 101YP2500X | 222 | MT | |
| Professional Counselor | 101YP2500X | #3587 | ID | Primary |
Addresses
Primary practice location
9728 W. Escuda Dr.
Peoria, AZ 85382-0950
Mailing address
6 Rising Sun CT LN
Salmon, ID 83467
Phone (406) 240-0191
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14279432 | Other | AZ | CAQH |
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 |
|---|---|---|---|
| LH00009128 | WA | MD | Mental Health Counselor |
| #3587 | ID | MD | Professional Counselor |
| 222 | MT | MD | Professional Counselor |
| 1095 | MT | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618790400000",
"number": "1821240649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 RISING SUN CT LN",
"city": "SALMON",
"state": "ID",
"postal_code": "83467",
"telephone_number": "406-240-0191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9728 W. ESCUDA DR.",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853820950",
"telephone_number": "406-240-0191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HURLY",
"first_name": "CAROL",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "ED.D,LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-10-13",
"last_updated": "2021-04-19",
"certification_date": "2021-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MT",
"license": "1095",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH00009128",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MT",
"license": "222",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "ID",
"license": "#3587",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "14279432",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Peoria, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.