Individual provider Active NPI

Patricia L Birmingham, LPC

  • Mental Health Counselor
  • Glendale, AZ
National Provider Identifier
1902885031
Registry record updated Mar 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC11134 Issued in AZ
Practice address
4827 W Villa Theresa Dr
Glendale, AZ 85308-1482
Phone
(623) 210-9502
NPI assigned
Jan 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC11134 AZ Primary
Counselor 101Y00000X LPC 11134 AZ
Professional Counselor 101YP2500X LPC-11134 AZ

Addresses

Primary practice location

4827 W Villa Theresa Dr
Glendale, AZ 85308-1482

Mailing address

4827 W Villa Theresa Dr
Glendale, AZ 85308-1482
Phone (623) 210-9502

Other identifiers 1

IdentifierTypeStateIssuer
999922MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: No
  • 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
I20240117004806 AZ Practitioner - Mental Health Counselor 2062430093

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC 11134AZMDCounselor
LPC11134AZMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773964800000",
    "number": "1902885031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4827 W VILLA THERESA DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853081482",
            "telephone_number": "623-210-9502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4827 W VILLA THERESA DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853081482",
            "telephone_number": "623-210-9502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRMINGHAM",
        "first_name": "PATRICIA",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-17",
        "last_updated": "2026-03-20",
        "certification_date": "2026-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LPC11134",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AZ",
            "license": "LPC 11134",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-11134",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "999922",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.