MICHELLE LYN PENFIELD FOWLER MA, LAC
NPI 1518516715
Counselor - Mental Health in Mesa, AZ

Active since September 10, 2019
3048 E BASELINE RD STE 107, MESA, AZ 85204(480) 779-9155 Get Directions Write a Review

NPPES record last updated: September 10, 2019. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Michelle Lyn Penfield Fowler Ma, Lac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHELLE LYN PENFIELD FOWLER MA, LAC (NPI 1518516715) is an individual mental health provider in Mesa, Arizona, licensed in Arizona (LAC-17978) and active in the NPI registry since September 2019.

NPPES Registry Identity

NPI1518516715
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMICHELLE LYN PENFIELD FOWLERCredential: MA, LAC
Location Address3048 E BASELINE RD STE 107Mesa, AZ 85204-7287
Mailing Address4132 E Juanita AveGilbert, AZ 85234-0344 · (480) 779-9155
Sole ProprietorYes
Enumeration DateSeptember 10, 2019
NPI 1518516715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in AZ · LAC-17978
3048 E BASELINE RD STE 107, Mesa, AZ 85204

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
3048 E BASELINE RD STE 107
MESA, AZ 85204
Counselor
3048 E BASELINE RD STE 107
MESA, AZ 85204
Clinic/Center (Mental Health (Including Community Mental Health Center))
3048 E BASELINE RD STE 107
MESA, AZ 85204
Marriage & Family Therapist
3048 E BASELINE RD STE 107
MESA, AZ 85204
Marriage & Family Therapist
3048 E BASELINE RD STE 107
MESA, AZ 85204
Counselor (Mental Health)
3048 E BASELINE RD STE 107
MESA, AZ 85204

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michelle Fowler's NPI number?

The NPI number for Michelle Fowler is 1518516715. It was assigned to this individual provider in the NPPES registry on September 10, 2019.

Where is Michelle Fowler located?

Michelle Fowler practices at 3048 E Baseline Rd Ste 107, Mesa, AZ 85204. The listed phone number is (480) 779-9155.

What is Michelle Fowler's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Michelle Fowler was last updated on September 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.