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Active NPI 1184845380 Individual Practitioner Female Practitioner

Cathyann M Hersom , LPC, MC

Counselor • Mesa, AZ

Professional Overview & Biography Verified Profile Summary

Cathyann Hersom, LPC, MC is a registered healthcare professional specializing in Counselor in Mesa, AZ. Practice services are available at 4121 E VALLEY AUTO DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4121 E Valley Auto Dr
Suite 122

Mesa, AZ 852064631

Telephone 6022859696
Associated Practice Facility / Clinic
🏢 Blue Streak Investments Llc Facility NPI 1831134550

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Mesa, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.4 Yrs
State Avg: 13.2 Yrs
Regional Practice Density
118 Specialists

Practicing in Mesa, AZ (1205 Statewide)

Telehealth Adoption Rate
1.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License AZ LPC10882

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

23 Associated Practitioners
Lisa Daughters

Counselor - Professional

NPI 1063751196
Valerie Dawson

Social Worker - Clinical

NPI 1073048898
Dr. Michael Rockwell , MD

Psychiatry & Neurology - Psychiatry

NPI 1083655195

Doctor of Medicine (M.D.)

Tyra Flowers , LCSW

Social Worker - Clinical

NPI 1144988833

Licensed Clinical Social Worker

Sara Mulready , LMFT

Counselor - Mental Health

NPI 1417983826

Licensed Marriage and Family Therapist

Mary Ricketts , LCSW

Counselor - Mental Health

NPI 1417992124

Licensed Clinical Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active February 16, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location February 16, 2016

Registered at 4121 E VALLEY AUTO DR, SUITE 122, MESA, AZ 852064631 (Tel: 6022859696)

📍
Updated Business Mailing Address February 16, 2016

Registered at 4065 E VAUGHN AVE, GILBERT, AZ 852340742 (Tel: 4802963823)

👤
Provider Name / Credentials Updated February 16, 2016

Recorded as CATHYANN HERSOM, LPC, MC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 16, 2016

Counselor (License #LPC10882 in AZ)

🟢
Initial NPI Registration & Enumeration May 02, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1184845380
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 02, 2007
Last Update: February 16, 2016
Sole Proprietor: Yes

Mailing Address

4065 E Vaughn Ave

Gilbert, AZ 852340742

Phone: 4802963823

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.