Individual provider Active NPI

Misty D Adame, EDD LPC

  • Mental Health Counselor
  • Glendale, AZ
National Provider Identifier
1851931844
Registry record updated Jan 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
14458 Issued in AZ
Practice address
21448 N 75TH Ave Ste 6
Glendale, AZ 85308-5978
Phone
(623) 572-8053
NPI assigned
Jan 8, 2020
Last updated
Jan 8, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2020

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 14458 AZ Primary

Addresses

Primary practice location

21448 N 75TH Ave Ste 6
Glendale, AZ 85308-5978

Mailing address

22341 N 79TH Dr
Peoria, AZ 85383-2157
Phone (602) 403-1988

Other identifiers 1

IdentifierTypeStateIssuer
1689082265OtherAZNPI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address misty@adamefamilycounseling.com Direct

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
14458AZMDMental Health Counselor

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1578441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578441600000",
    "number": "1851931844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22341 N 79TH DR",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853832157",
            "telephone_number": "602-403-1988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21448 N 75TH AVE STE 6",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853085978",
            "telephone_number": "623-572-8053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAME",
        "first_name": "MISTY",
        "middle_name": "D",
        "credential": "EDD LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-08",
        "last_updated": "2020-01-08",
        "certification_date": "2020-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "14458",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1689082265",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "misty@adamefamilycounseling.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "21448 N 75th Ave Ste 6",
            "city": "Glendale",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853085978",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2020; 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.