MIRTA I KAPERONIS (NPI# 1689809600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689809600 |
| Entity Type | Individual |
| Full Name | MIRTA I KAPERONIS |
| Credential | LCSW |
| Practice Address |
30 Acoma Blvd S Suite101-103 Lake Havasu City AZ 86403-5957 |
| Mailing Address |
30 Acoma Blvd S Suite 101-103 Lake Havasu City AZ 86403-5957 |
| Practice Telephone | 9286800604 |
| Practice Fax Number | 9286800605 |
| Mailing Telephone | 9286800604 |
| Mailing Fax Number | 9286800605 |
| Enumeration Date | 2009-05-19 |
| Last Update Date | 2009-05-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | LCSW-10019 | AZ | Behavioral Health & Social Service Providers |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
LASAC-13100 | AZ | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | STATE LICENSE | LCSW-10019 | 01 |
| AZ | STATE LICENSE | LASAC-13100 | 01 |
| Street Address |
30 ACOMA BLVD S SUITE101-103 |
| City | LAKE HAVASU CITY |
| State | AZ |
| Zip Code | 86403-5957 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619903986 | Mediterranean Mental Health Center, Inc. | Psychiatry & Neurology | 30 Acoma Blvd S, 101-103, Lake Havasu City, AZ 86403-5957 | 2006-06-25 |
| 1992285852 | Act Mental Health Services, LLC | Nurse Practitioner | 30 Acoma Blvd S, Lake Havasu City, AZ 86403-5957 | 2018-08-20 |
| 1124214093 | Vasilios W Kaperonis | Psychiatry & Neurology | 30 Acoma Blvd S, #101-103, Lake Havasu City, AZ 86403-5957 | 2007-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104479039 | Liska's Apothecary Shop, Inc. | Assisted Living Facility | 1840 Mesquite Ave., Ste. E, Lake Havasu City, AZ 86403 | 2019-07-19 |
| 1275033227 | Ayad Costy | Pharmacist | 75 North Lake Havasu City, Lake Havasu City, AZ 86403 | 2018-02-16 |
| 1942727250 | Ideal Health Care, L.L.C. | Prosthetic/Orthotic Supplier | 1675 Mesquite Ave Ste A, Lake Havasu City, AZ 86403 | 2017-08-28 |
| 1063965036 | Cerner Health Connections, Inc | Clinic/Center | 89 Civic Center Blvd, Lake Havasu City, AZ 86403 | 2016-07-26 |
| 1447643358 | Lundin Dental PC | Durable Medical Equipment & Medical Supplies | 1741 Mesquite Avenue Ste B 100, Lake Havasu City, AZ 86403 | 2015-03-17 |
| 1912301425 | Arizona Havasu Bdm Pak LLC | Dentist | 1799 North Kiowa Blvd, Unit 109, Lake Havasu, AZ 86403 | 2014-10-13 |
| 1386047850 | Emily E Vona | Nurse Practitioner | 84 Acoma Blvd N Ste 104, Lake Havasu City, AZ 86403 | 2014-09-29 |
| 1750700589 | Thomas Wennergren | Pharmacist | 25 S Lake Havasu Ave, Lake Havasu City, AZ 86403 | 2014-04-09 |
| 1285997460 | Jamie L Lemire | Pharmacist | 1980 Mcculloch Blvd, Lake Havasu City, AZ 86403 | 2012-06-21 |
| 1053694448 | Goodwill of Northern Arizona | Exclusive Provider Organization | 1990 Mcculloch Blvd North, Lake Havasu City, AZ 86403 | 2011-09-22 |
| Find all providers in zip 86403 | ||||
| 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 |
|---|---|---|---|---|
| 1295212660 | Nicholas Beard | Counselor | 1940 Mesquite Ave Ste D, Lake Havasu City, AZ 86403-6123 | 2018-07-27 |
| 1609014265 | Lawrence Dean Chase | Counselor | 2041 Swanson Ave, Lake Havasu City, AZ 86403 | 2009-02-04 |
| 1043404197 | Nancy Womack Mccoy | Counselor | 30 S Acoma Blvd, #204, Lake Havasu City, AZ 86403 | 2007-08-31 |
| 1184771388 | Kandis A Silvestri | Counselor | 2277 Swanson Ave, Ste B, Lake Havasu City, AZ 86403-5998 | 2007-01-03 |
| 1578530432 | Linda Louise Paquette | Counselor | 1948 Mesquite Ave, 103, Lake Havasu City, AZ 86403-5777 | 2006-02-28 |
| 1346238607 | Sherry Kaye Malm | Counselor | 474 Hagen Way, Lake Havasu City, AZ 86406-7537 | 2005-10-11 |
| 1659500759 | Renee Lorin Nelson | Counselor | 2187 Swanson Ave, Lake Havasu City, AZ 86403-6838 | 2009-07-09 |
| 1861480121 | Paula R Lupo | Counselor | 2187 Swanson Ave, Lake Havasu City, AZ 86403-6838 | 2005-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912508698 | Judith Osuagwu | Counselor | 16745 W Monroe St, Goodyear, AZ 85338-4534 | 2020-11-08 |
| 1952902298 | Karissa Lynn Whitlatch | Counselor | 3651 E Baseline Rd Ste E120, Gilbert, AZ 85234-2689 | 2020-11-03 |
| 1891395604 | Helping Handz Counseling Services Outpatient Treatment Center Corp | Counselor | 3930 N 30th Ave, Phoenix, AZ 85017-4607 | 2020-10-30 |
| 1013517309 | Gregory Clopton | Counselor | 12223 E Cloud Rd, Chandler, AZ 85249-3424 | 2020-10-27 |
| 1699375030 | Crystal Marie Thomson | Counselor | 1405 E Guadalupe Rd Ste 3, Tempe, AZ 85283-3971 | 2020-10-26 |
| 1477152361 | Jennifer L St. Clair | Counselor | 12211 W Bell Rd Ste 205, Surprise, AZ 85378-9522 | 2020-10-21 |
| 1528667953 | George Olorunfemi Adeola Olusa | Counselor | 5651 S Mesquite Grove Way, Chandler, AZ 85249-9670 | 2020-10-17 |
| 1033717582 | Erica Nicole Trocino | Counselor | 11811 W Softwind Dr, Sun City, AZ 85373-5029 | 2020-10-15 |
| 1124639414 | Karissa Bruce | Counselor | 141 S Mccormick St Ste 103, Prescott, AZ 86303-4730 | 2020-08-11 |
| 1215545207 | David M Becket | Counselor | 2675 W St Rte 89a # 1061, Sedona, AZ 86336-5240 | 2020-07-16 |
| Find all providers with the same taxonomy | ||||
| City | LAKE HAVASU CITY |
| Zip Code | 86403 |
Please comment or provide details below to improve the information on MIRTA I KAPERONIS.
| 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.