MICHAEL NELSON NPI 1710452032

NPI Information

NPI: 1710452032
Provider Name: MICHAEL NELSON
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

PECOS Registration: Yes

Address:
2102 W BETHANY HOME RD
PHOENIX, AZ
ZIP 85015
Phone: (602) 774-4745
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Michael Nelson is a mental health counselor in Phoenix, AZ. Michael Nelson NPI is 1710452032. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2102 W BETHANY HOME RD
PHOENIX, AZ
ZIP 85015-935
Phone: (602) 774-4745

The NPI 1710452032 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 10/13/2018 and was last updated on 10/13/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health		ARIZONA	Yes
2	1041C0700X	Social Worker	Clinical		ARIZONA	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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