Individual provider Active NPI

Michiko Pepple, LPC, NCC

  • Counselor
  • Phoenix, AZ
National Provider Identifier
1962832618
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LPC-13767 Issued in AZ
Practice address
2610 W Baseline Rd Ste 116
Phoenix, AZ 85041-6400
Phone
(602) 899-2534
NPI assigned
Nov 16, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LPC-13767 AZ Primary

Addresses

Primary practice location

2610 W Baseline Rd Ste 116
Phoenix, AZ 85041-6400

Mailing address

2030 W Baseline Rd Ste 182411
Phoenix, AZ 85041-6574

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-13767AZMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenix Counseling LLC Counselor CurrentSince Nov 1, 2020 Accepting new patients

Locations

7205 S 51st Ave
Ste 202
Laveen, AZ 85339
Phone (602) 237-1105

2030 W Baseline Rd
Ste 182411
Phoenix, AZ 85041

2610 W Baseline Rd
Ste 116
Phoenix, AZ 85041
Phone (602) 899-2534

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1384560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1962832618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2030 W BASELINE RD STE 182411",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850416574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2610 W BASELINE RD STE 116",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850416400",
            "telephone_number": "602-899-2534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEPPLE",
        "first_name": "MICHIKO",
        "credential": "LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-16",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AZ",
            "license": "LPC-13767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; 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.