Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Nisim Yadiel Estrada, LPC

Individual provider Professional Counselor · NPI 1831962968

Nisim Yadiel Estrada, LPC is a Marriage and Family Therapist in Phoenix, Arizona. Qualified in 2016, 10 years ago. Practices with Recovia LLC, a 28-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
10
Licensed in
AZ
In the registry since
2023
Specialties on file
2
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

337 E Coronado Rd Ste 201
Phoenix, AZ 85004-1583
Phone: (480) 712-4600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence LPC-22541 (AZ)
Professional Counselor Taxonomy 101YP2500X · Licence 22541 (AZ)

Record details

NPI number1831962968
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC
Sole proprietorYes
NPI enumeratedOctober 31, 2023
Last updated in NPPESFebruary 23, 2024
Certification dateFebruary 23, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Recovia Llc — 28 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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