Individual provider Active NPI

Caryn Attianese, LPC

  • Professional Counselor
  • Glendale, AZ
National Provider Identifier
1962642983
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-12986 Issued in AZ
Practice address
5940 W Union Hills Dr Ste D200
Glendale, AZ 85308-1360
Phone
(480) 326-9421
NPI assigned
Mar 3, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 LPC-12986 AZ Primary

Addresses

Primary practice location

5940 W Union Hills Dr Ste D200
Glendale, AZ 85308-1360

Mailing address

5940 W Union Hills Dr Ste D200
Glendale, AZ 85308-1360
Phone (480) 326-9421

Other practice location 1

283 N Jefferson St
Wickenburg, AZ 85390-1262
Phone (480) 326-9421

Other practice location 2

283 N Jefferson St
Wickenburg, AZ 85390-1262
Phone (480) 326-9421

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LPC-12986AZMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1236038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1962642983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5940 W UNION HILLS DR STE D200",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853081360",
            "telephone_number": "480-326-9421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5940 W UNION HILLS DR STE D200",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853081360",
            "telephone_number": "480-326-9421"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "283 N Jefferson St",
            "address_purpose": "LOCATION",
            "city": "Wickenburg",
            "state": "AZ",
            "postal_code": "853901262",
            "country_code": "US",
            "telephone_number": "480-326-9421",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "283 N Jefferson St",
            "address_purpose": "LOCATION",
            "city": "Wickenburg",
            "state": "AZ",
            "postal_code": "853901262",
            "country_code": "US",
            "telephone_number": "480-326-9421",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ATTIANESE",
        "first_name": "CARYN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-03",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-12986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.