Individual provider Active NPI

Lynn C. Hepperly, LCSW

  • Mental Health Counselor
  • Phoenix, AZ
National Provider Identifier
1871812230
Registry record updated May 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LCSW-10651 Issued in AZ
Practice address
4620 N 16TH St Ste E110
Phoenix, AZ 85016-5124
Phone
(602) 264-2770
Fax
(866) 534-1701
NPI assigned
May 25, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LISAC-11056 AZ
Mental Health Counselor 101YM0800X LCSW-10651 AZ Primary

Addresses

Primary practice location

4620 N 16TH St Ste E110
Phoenix, AZ 85016-5124

Mailing address

8790 E Via de Sereno
Scottsdale, AZ 85258-4001
Phone (602) 628-3449

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
LISAC-11056AZMDAddiction (Substance Use Disorder) Counselor
LCSW-10651AZMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1274745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274745600000",
    "number": "1871812230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8790 E VIA DE SERENO",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584001",
            "telephone_number": "602-628-3449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4620 N 16TH ST STE E110",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850165124",
            "telephone_number": "602-264-2770",
            "fax_number": "866-534-1701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEPPERLY",
        "first_name": "LYNN",
        "middle_name": "C.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-25",
        "last_updated": "2010-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "LISAC-11056",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LCSW-10651",
            "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 May 25, 2010; 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.