Individual provider Active NPI

Maria Anaya McKivergan, LPC

  • Professional Counselor
  • Yuma, AZ
National Provider Identifier
1841461175
Registry record updated Apr 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
13970 Issued in AZ
Practice address
3970 W 24TH St
Suite 206
Yuma, AZ 85364-9255
Phone
(928) 373-8041
Fax
(928) 259-2501
NPI assigned
Mar 14, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 13970 AZ Primary

Addresses

Primary practice location

3970 W 24TH St
Suite 206
Yuma, AZ 85364-9255

Mailing address

3970 W 24TH St
Suite 206
Yuma, AZ 85364-9255

Other names 1

  • Maria Anaya Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240927000375 AZ Practitioner - Mental Health Counselor 7911338496 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Desert Counseling and Recovery ServicesGroup PAC ID 3779848494, 4 clinicians

Practice addresses (Care Compare)

3970 W 24TH St
Suite 206
Yuma, AZ 85364-9255
Phone (928) 373-8041

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13970AZMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Counseling & Recovery Services CurrentSince Sep 9, 2024 Accepting new patients

Locations

3970 W 24th St
Ste 206
Yuma, AZ 85364
Phone (928) 373-8041

3970 W 24th St
Ste 204
Yuma, AZ 85364
Phone (928) 373-8041

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.

NPI Registry JSON

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

{
    "created_epoch": "1205452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587427200000",
    "number": "1841461175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3970 W 24TH ST",
            "address_2": "SUITE 206",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853649255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3970 W 24TH ST",
            "address_2": "SUITE 206",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853649255",
            "telephone_number": "928-373-8041",
            "fax_number": "928-259-2501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKIVERGAN",
        "first_name": "MARIA",
        "middle_name": "ANAYA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-14",
        "last_updated": "2020-04-21",
        "certification_date": "2020-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "13970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "ANAYA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Yuma, AZ

Sources for this page

Verify at the official NPI Registry.