Michael Austin Peugnet, M.S., LASAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

LASAC-15107 Issued in AZ

Practice address

4020 N 20TH St
Suite 302
Phoenix, AZ 85016-6028

Phone

(602) 535-6468

Fax

(602) 595-8695

NPI assigned

Nov 19, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Stonewall Institute, LLC

  • Community/Behavioral Health Agency
  • Phoenix, AZ
  • NPI 1972838167
  NPD (past)

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

{
    "created_epoch": "1416355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416355200000",
    "number": "1871990861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4020 N 20TH ST",
            "address_2": "SUITE 302",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850166028",
            "telephone_number": "602-535-6468",
            "fax_number": "602-595-8695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4020 N 20TH ST",
            "address_2": "SUITE 302",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850166028",
            "telephone_number": "602-535-6468",
            "fax_number": "602-595-8695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEUGNET",
        "first_name": "MICHAEL",
        "middle_name": "AUSTIN",
        "name_prefix": "Mr.",
        "credential": "M.S., LASAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-11-19",
        "last_updated": "2014-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "LASAC-15107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam J Petty, LAC
• Azanean J Petty, LMSW
• Shelby Lynn Petty, PT, DPT
• Mandy D. Petz, PHARM.D.
• Daniela Petznick, LAMFT
• Izabela Pevidor, ED.S., NCSP
• Pew Anesthesia, LLC
• Scott Hamblin Pew, MD
• Allen Peyghambarian, D.D.S.
• Isaac Pezzino

• Addiction (Substance Use Disorder) Counselor in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Addiction (Substance Use Disorder) Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2014; 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.