NPI 1881374148
This NPI was deactivated on September 17, 2026. The record is kept for reference and should not be used for billing or referrals.
NPI 1881374148 is a Mental Health Counselor. Graduated from University of Arizona College of Medicine - Phoenix in 2019, 7 years ago. Accepts Medicare assignment.
- Years since qualifying
- 7
- Trained at
- University of Arizona College of Medicine - Phoenix
Practice location Incomplete address
No coordinates on file. Search this address in Google Maps
Specialties & licences
Record details
| NPI number | 1881374148 |
|---|---|
| Entity type | Individual (Type 1) |
| NPI enumerated | — |
| Last updated in NPPES | — |
Medicare enrollment
| Medicare specialty | MENTAL HEALTH COUNSELOR |
|---|---|
| Medical school | UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE - PHOENIX |
| Graduated | 2019 (7 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |