CHRISTINE ROSE PEMBERTON
Counselor

Address: 4037 E Cortez St, Phoenix, AZ 85028-2244

CHRISTINE ROSE PEMBERTON (NPI# 1649518507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1649518507
Entity Type Individual
Full Name MRS. CHRISTINE ROSE PEMBERTON
Gender Female
Credential LPC
Practice Address 4037 E Cortez St
Phoenix
AZ 85028-2244
US
Practice Telephone 6026860425
Mailing Address 4037 E Cortez St
Phoenix
AZ 85028-2244
US
Mailing Telephone 6026860425
Enumeration Date 2013-01-27
Last Update Date 2013-01-27
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
Y 101Y00000X Counselor LPC 13080 AZ Behavioral Health & Social Service Providers

Office Location

Street Address 4037 E CORTEZ ST
City PHOENIX
State AZ
Zip Code 85028-2244

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1801097837 Eli J Hammer Family Medicine 4611 East Shea Blvd, Ste 165, Phoenix, AZ 85028 2007-05-29
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1104157742 Kimberly H. Herman Nurse Practitioner - Family 3420 E Shea Blvd Ste 200266, Phoenix, AZ 85028 2010-01-21
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1720418379 Alyssa Hale Occupational Therapy Assistant 4600 East Shea Boulevard, Suite 101, Phoenix, AZ 85028 2013-11-19
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Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1306439526 Aryn Sylvester Counselor 3606 N 24th St, Phoenix, AZ 85016-6509 2021-02-18
1255922191 Zira Ann Franks Counselor 2403 W Lone Cactus Dr Apt 145, Phoenix, AZ 85027-6208 2021-02-02
1497346837 Hofunity Behavioral Health LLC Counselor 6923 S 21st Dr, Phoenix, AZ 85041-6566 2021-01-28
1982200499 Teresa Dawn Simkins-Aris Counselor 2627 E Thomas Rd, Phoenix, AZ 85016-8227 2020-12-09
1134745367 Julianne Jordan Holroyd Counselor 16012 N 7th Dr, Phoenix, AZ 85023-4436 2020-06-23
1275158719 Empire Group Homes LLC Counselor 1629 W Lacewood Pl, Phoenix, AZ 85045-0814 2020-06-10
1891317392 Chelsea Savastio Counselor 5040 E. Shea Blvd, Ste. 164, Phoenix, AZ 85028-8502 2020-05-07
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Competitor

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City PHOENIX
Zip Code 85028

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Dataset Information

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.