Individual provider Active NPI

Clarisa Fujiwara

  • Mental Health Counselor
  • Phoenix, AZ
National Provider Identifier
1841669769
Registry record updated Sep 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LAC- 14281 Issued in AZ
Practice address
3747 N 24TH St
Phoenix, AZ 85016-6510
Phone
(520) 440-8175
NPI assigned
Sep 21, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LAC- 14281 AZ Primary

Addresses

Primary practice location

3747 N 24TH St
Phoenix, AZ 85016-6510

Mailing address

4808 N 24TH St Unit 1504
Phoenix, AZ 85016-9118
Phone (520) 440-8175

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

LicenseStateTypeSpecialty
LAC- 14281AZMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1442793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442793600000",
    "number": "1841669769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4808 N 24TH ST UNIT 1504",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850169118",
            "telephone_number": "520-440-8175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3747 N 24TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850166510",
            "telephone_number": "520-440-8175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUJIWARA",
        "first_name": "CLARISA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-21",
        "last_updated": "2015-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LAC- 14281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2015; 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.