Individual provider Active NPI

Anna McCreadie, LAC

  • Mental Health Counselor
  • Phoenix, AZ
National Provider Identifier
1871223925
Registry record updated Feb 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LAC-7695T Issued in AZ
Practice address
14040 N Cave Creek Rd Ste 108
Phoenix, AZ 85022-6117
Phone
(602) 358-7073
Fax
(888) 927-0409
NPI assigned
Jun 13, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Mental Health Counselor 101YM0800X LAC-7695T AZ Primary

Addresses

Primary practice location

14040 N Cave Creek Rd Ste 108
Phoenix, AZ 85022-6117

Mailing address

6635 W Happy Valley Rd Ste A104-621
Glendale, AZ 85310-2609
Phone (602) 358-7073

Other practice location 1

777 N 1st St Ste 444
San Jose, CA 95112-6339
Phone (408) 240-0070

Other identifiers 1

IdentifierTypeStateIssuer
LAC-7695TOtherAZAZ BOARD OF BEHAVIORAL HEALTH

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-7695TAZMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Oceanbee Wellness, LLC CurrentSince Dec 8, 2024 Accepting new patients
Teri'S Health Services PastSince Feb 19, 2023 Accepting new patients

Locations

6635 W Happy Valley Rd
Ste A104621
Glendale, AZ 85310

14040 N Cave Creek Rd
Ste 108
Phoenix, AZ 85022
Phone (602) 358-7073

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1655078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676419200000",
    "number": "1871223925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6635 W HAPPY VALLEY RD STE A104-621",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853102609",
            "telephone_number": "602-358-7073",
            "fax_number": "888-927-0409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14040 N CAVE CREEK RD STE 108",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850226117",
            "telephone_number": "602-358-7073",
            "fax_number": "888-927-0409"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "777 N 1st St Ste 444",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951126339",
            "country_code": "US",
            "telephone_number": "408-240-0070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCREADIE",
        "first_name": "ANNA",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-13",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LAC-7695T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ BOARD OF BEHAVIORAL HEALTH",
            "identifier": "LAC-7695T",
            "state": "AZ"
        }
    ],
    "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 Feb 15, 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.

Verify at the official NPI Registry.