COURTNEY ANN MEOLA LAC
NPI 1679182166
Counselor in Phoenix, AZ

Q: What is Courtney Meola's NPI number?

The NPI number for Courtney Meola is 1679182166. It was assigned to this individual provider in the NPPES registry on July 30, 2020.

Q: What is Courtney Meola's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: Is Courtney Meola enrolled in Medicare?

No. Courtney Meola has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Courtney Meola was last updated on July 30, 2020. 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.

Active since July 30, 2020Opted out of Medicare · through Jan 1, 2028

34975 N NORTH VALLEY PKWY STE 152, PHOENIX, AZ 85086(480) 525-7091 Get Directions Write a Review

NPPES record last updated: July 30, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Courtney Ann Meola Lac NPPES

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

COURTNEY ANN MEOLA LAC (NPI 1679182166) is an individual counselor in Phoenix, Arizona, licensed in Arizona (LAC-18355) and active in the NPI registry since July 2020. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1679182166

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameCOURTNEY ANN MEOLACredential: LAC

Location Address34975 N NORTH VALLEY PKWY STE 152Phoenix, AZ 85086-4032

Mailing Address34975 N North Valley Pkwy Ste 152Phoenix, AZ 85086-4032

Phone(480) 525-7091

Sole ProprietorYes

Enumeration DateJuly 30, 2020

NPPES CertifiedJuly 30, 2020

✔ NPI 1679182166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in AZ · LAC-18355

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.

34975 N NORTH VALLEY PKWY STE 152, Phoenix, AZ 85086

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Courtney Ann Meola Lac has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024

Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 9

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

LORI CLINKENBEARD LPC

Counselor (Mental Health)