Organization Active NPI

Icare Counseling and Consulting PLLC

  • Clinic/Center
  • Mesa, AZ
National Provider Identifier
1902528292
Registry record updated Sep 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
ICARE COUNSELING AND CONSULTING PLLC
Practice address
451 E 4TH PL
Mesa, AZ 85203-7101
Phone
(602) 881-1062
NPI assigned
Sep 14, 2022
Last updated
Sep 30, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2022

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

Authorized official

Name
Jodi Erickson, LCSW
Title
Administrator
Phone
(602) 881-1062

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X NU
Clinical Social Worker 1041C0700X NU
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

451 E 4TH PL
Mesa, AZ 85203-7101

Mailing address

451 E 4TH PL
Mesa, AZ 85203-7101
Phone (602) 881-1062

National Provider Directory

National Provider Directory

Locations

451 E 4th Pl
Mesa, AZ 85203
Phone (480) 668-8661

NPI Registry JSON

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

{
    "created_epoch": "1663113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664496000000",
    "number": "1902528292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 E 4TH PL",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852037101",
            "telephone_number": "602-881-1062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 E 4TH PL",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852037101",
            "telephone_number": "602-881-1062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICARE COUNSELING AND CONSULTING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-14",
        "last_updated": "2022-09-30",
        "certification_date": "2022-09-30",
        "status": "A",
        "authorized_official_last_name": "ERICKSON",
        "authorized_official_first_name": "JODI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "602-881-1062",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2022; 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.