Individual provider Active NPI

Michelle T Sproule, LPC

  • Professional Counselor
  • Scottsdale, AZ
National Provider Identifier
1962062661
Registry record updated Oct 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
17948 Issued in AZ
Practice address
10446 N 74TH St Ste 150
Scottsdale, AZ 85258-1045
Phone
(480) 699-9044
NPI assigned
Jun 17, 2019
Last updated
Oct 20, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 17948 AZ Primary

Addresses

Primary practice location

10446 N 74TH St Ste 150
Scottsdale, AZ 85258-1045

Mailing address

PO Box 5943
Scottsdale, AZ 85261-5943
Phone (480) 699-9044

Other practice location 1

8149 N 87th Pl
Scottsdale, AZ 85258-4399
Phone (480) 699-9044

Other practice location 2

13402 N 60th St
Scottsdale, AZ 85254-3806
Phone (480) 699-9044

Other practice location 3

11024 N Miller Rd
Scottsdale, AZ 85260-6420
Phone (480) 699-9044

Other practice location 4

10227 N Scottsdale Rd
Scottsdale, AZ 85253-1424
Phone (480) 699-9044

Other identifiers 1

IdentifierTypeStateIssuer
082003MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10027 N Scottsdale Rd
Scottsdale, AZ 85253

8149 N 87TH PL
Scottsdale, AZ 85258-4399

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17948AZMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Scottsdale Recovery II LLC PastSince Sep 1, 2022 Accepting new patients
Scottsdale Recovery II, LLC Past Accepting new patients
Scottsdale Recovery II, LLC Past Accepting new patients
Scottsdale Recovery II, LLC PastSince Aug 1, 2024 Accepting new patients
Scottsdale Recovery II, LLC PastSince May 1, 2020 Accepting new patients

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1560729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666224000000",
    "number": "1962062661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5943",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852615943",
            "telephone_number": "480-699-9044",
            "fax_number": "480-739-6116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10446 N 74TH ST STE 150",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852581045",
            "telephone_number": "480-699-9044"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8149 N 87th Pl",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852584399",
            "country_code": "US",
            "telephone_number": "480-699-9044",
            "fax_number": "480-739-6116",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13402 N 60th St",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852543806",
            "country_code": "US",
            "telephone_number": "480-699-9044",
            "fax_number": "480-739-6116",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11024 N Miller Rd",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852606420",
            "country_code": "US",
            "telephone_number": "480-699-9044",
            "fax_number": "480-739-6116",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10227 N Scottsdale Rd",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852531424",
            "country_code": "US",
            "telephone_number": "480-699-9044",
            "fax_number": "480-739-6116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPROULE",
        "first_name": "MICHELLE",
        "middle_name": "T",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-17",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "17948",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "082003",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.