MIREYA J ROE (NPI# 1073953659) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073953659 |
| Entity Type | Individual |
| Full Name | MIREYA J ROE |
| Practice Address |
6153 W Olive Ave Glendale AZ 85302-4564 |
| Mailing Address |
3003 N Central Ave Suite 200 Phoenix AZ 85012-2902 |
| Practice Telephone | 6026856120 |
| Enumeration Date | 2013-06-27 |
| Last Update Date | 2013-06-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | LAC 14101 | AZ | Behavioral Health & Social Service Providers |
| Street Address |
6153 W OLIVE AVE |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85302-4564 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821049800 | Robert James Allen | Family Medicine | 6153 W Olive Ave, Glendale, AZ 85302-4564 | 2006-05-13 |
| 1982240040 | Leslie Billings | Counselor | 6153 W Olive Ave, Glendale, AZ 85302-4564 | 2019-11-25 |
| 1124677802 | Jessica Shetzen | Counselor | 6153 W Olive Ave, Glendale, AZ 85302-4564 | 2019-09-05 |
| 1396237640 | Troy Riutta | Nurse Practitioner | 6153 W Olive Ave, Glendale, AZ 85302-4564 | 2018-06-02 |
| 1629575683 | Christina Elliott | Nurse Practitioner | 6153 W Olive Ave, Glendale, AZ 85302-4564 | 2018-04-06 |
| 1982064515 | Todd Robert Shorten | Nurse Practitioner | 6153 W Olive Ave, Glendale, AZ 85302-4564 | 2016-02-24 |
| 1164817987 | Valerie P Jackson | Social Worker | 6153 W Olive Ave, Glendale, AZ 85302-4564 | 2015-03-30 |
| 1972919397 | Susan Kinkel | Marriage & Family Therapist | 6153 W Olive Ave, Glendale, AZ 85302-4564 | 2014-07-07 |
| 1700292158 | Ray Young | Counselor | 6153 W Olive Ave, Glendale, AZ 85302-4564 | 2014-07-07 |
| 1104266782 | Kirstin Yates | Counselor | 6153 W Olive Ave, Glendale, AZ 85302-4564 | 2013-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235736190 | Tyler Davis LLC | Psychologist | 8607 N 59th Ave Suite C-6, Glendale, AZ 85302 | 2020-10-05 |
| 1679098420 | Sidney M Kingery | Physical Therapist | 5810 W Peoria Ave, Glendale, AZ 85302 | 2017-08-12 |
| 1255877825 | Sonoran Sky Community Services | Community Based Residential Treatment Facility, Mental Illness | 5651 W. Harmont Dr, Glendale, AZ 85302 | 2017-01-06 |
| 1346696382 | Megan Mari Byrne | Chiropractor | 8425 N 61st Dr., Glendale, AZ 85302 | 2016-05-09 |
| 1558742007 | Farzan Mojgani | Dentist | 5929 W. Peoria Ave. Suite 101, Glendale, AZ 85302 | 2015-06-10 |
| 1255757308 | Glendale Modern Dentistry, LLP | Dentist | 5143 West Olive Ave, Suite 140, Glendale, AZ 85302 | 2014-03-13 |
| 1518391341 | Crystal Nicole-marie Whitman | Physical Therapy Assistant | 5411 W. Cinnabar Ave., Glendale, AZ 85302 | 2013-08-28 |
| 1013349570 | A New Leaf | Clinic/Center | 8581 N 61st Ave, Building A, Suite 101-102, Glendale, AZ 85302 | 2013-08-06 |
| 1255602439 | Alicia S Fennemore | Specialist/Technologist | 352 E. Camelback Rd., Suite 102, Phoenix, AZ 85302 | 2012-01-20 |
| 1639306731 | Total Medical Care, LLC | Clinic/Center | 5048 W. Northern Avenue, Suite 105, Glendale, AZ 85302 | 2009-06-16 |
| Find all providers in zip 85302 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972133387 | Yusuf Toliver | Counselor | 1027 S Central Ave, Suite 200, Glendale, CA 91204 | 2020-01-24 |
| 1295377687 | Serenity Preserved Counseling Pllc | Counselor | 21448 N. 75th Avenue Ste G, Glendale, AZ 85308 | 2019-10-17 |
| 1871144535 | Nicole Gordon | Counselor | 7609 W Rovey Ave, Glendale, AZ 85303-4250 | 2019-09-24 |
| 1407338379 | Henry Marshal Tyler | Counselor | 2505 Canada Blvd Ste 2, Glendale, CA 91208-2089 | 2018-09-06 |
| 1346737111 | Janet Ohanian | Counselor | 915 N Glendale Ave, Glendale, CA 91206-2130 | 2018-04-17 |
| 1881193175 | Robin Lynn Puckett | Counselor | 17505 N 79th Ave Ste 311g, Glendale, AZ 85308-8730 | 2018-02-01 |
| 1538667142 | Chelsea Rae Zendarski | Counselor | 6445 W Maryland Ave Apt 3, Glendale, AZ 85301-3738 | 2018-01-29 |
| 1487165031 | Sofia Elvira Philips | Counselor | 18275 N 59th Ave Ste K-164, Glendale, AZ 85308-1260 | 2017-10-21 |
| 1417301086 | Kristi Proch | Counselor | 21448 N 75th Ave, Suite 11, Glendale, AZ 85308-5978 | 2016-04-20 |
| 1831557065 | Arnitta Holliman | Counselor | 6789 N Green Bay Ave # U14, Glendale, WI 53209-3472 | 2016-02-02 |
| Find all providers in GLENDALE | ||||
Please comment or provide details below to improve the information on MIREYA J ROE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.