Individual provider Active NPI

Libby Howell, ED.D., LMFT

  • Clinical Child & Adolescent Psychologist
  • Tempe, AZ
National Provider Identifier
1871607481
Registry record updated Oct 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
1935 Issued in AZ
Practice address
5410 S Lakeshore Dr Ste 103
Tempe, AZ 85283-2171
Phone
(480) 756-8686
Fax
(480) 756-8918
NPI assigned
Aug 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent Psychologist 103TC2200X 1935 AZ Primary
Marriage & Family Therapist 106H00000X 0295 AZ

Addresses

Primary practice location

5410 S Lakeshore Dr Ste 103
Tempe, AZ 85283-2171

Mailing address

5410 S Lakeshore Dr Ste 103
Tempe, AZ 85283-2171
Phone (480) 756-8686

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
I20040224001314 AZ Practitioner - Clinical Psychologist 9335035591 Practice locations: Tempe, AZ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5410 S Lakeshore Dr
Tempe, AZ 85283-2171
Phone (480) 756-8686

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0295AZMDMarriage & Family Therapist
1935AZMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193011200000",
    "number": "1871607481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5410 S LAKESHORE DR STE 103",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852832171",
            "telephone_number": "480-756-8686",
            "fax_number": "480-756-8918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5410 S LAKESHORE DR STE 103",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852832171",
            "telephone_number": "480-756-8686",
            "fax_number": "480-756-8918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOWELL",
        "first_name": "LIBBY",
        "name_prefix": "Dr.",
        "credential": "ED.D., LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-19",
        "last_updated": "2007-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "AZ",
            "license": "1935",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "AZ",
            "license": "0295",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

Verify at the official NPI Registry.