Individual provider Active NPI

Delia Consentino

  • Specialist
  • Phoenix, AZ
National Provider Identifier
1972962082
Registry record updated Feb 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
LISAC 11466 Issued in AZ
Practice address
1632 E Flower St
Phoenix, AZ 85016-7115
Phone
(623) 256-0021
NPI assigned
Feb 17, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X LISAC 11466 AZ Primary

Addresses

Primary practice location

1632 E Flower St
Phoenix, AZ 85016-7115

Mailing address

4825 W Desert Hills Dr
Glendale, AZ 85304-2932
Phone (623) 256-0021

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
LISAC 11466AZMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Gloria'S House of Healing Current Accepting new patients
Consentino Consulting LLC Addiction (Substance Use Disorder) CurrentSince Sep 28, 2021 Accepting new patients

Organizations & group practices 2

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": "1455667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455667200000",
    "number": "1972962082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4825 W DESERT HILLS DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853042932",
            "telephone_number": "623-256-0021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1632 E FLOWER ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850167115",
            "telephone_number": "623-256-0021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONSENTINO",
        "first_name": "DELIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-17",
        "last_updated": "2016-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AZ",
            "license": "LISAC 11466",
            "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 Feb 17, 2016; 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.