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Annette Bouw , LAC

Counselor - Professional • Apache Junction, AZ

Active NPI 1851020390 Individual Practitioner Female Practitioner
Practice location in NPPES

11518 E Apache Trl Ste 129
Apache Junction, AZ 851203572

Call 4807841514 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

11518 E Apache Trl Ste 129

Apache Junction, AZ 851203572

Telephone 4807841514
Organization at the Same NPPES Address or Phone
Empact-Suicide Prevention Center Facility NPI 1003982133

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2022

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Apache Junction and Arizona

17 active clinicians are listed under Counselor - Professional with a practice address in Apache Junction, AZ (2,965 in Arizona).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Apache Junction

0% of these 17 clinicians have the CMS telehealth indicator.

11.8% of these 17 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-06-09
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Arizona Medical Board.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier State License
LPC-19957 (AZ)

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

11 listed
Susan Anderson , MSN APRN

Nurse Practitioner - Psychiatric/Mental Health

NPI 1467418145

MSNAPRN

Jami Cline , APRN

Nurse Practitioner - Psychiatric/Mental Health

NPI 1801245303

Advanced Practice Registered Nurse

Dr. Eddy De Los Santos , MD

Psychiatry & Neurology - Psychiatry

NPI 1154409324

Doctor of Medicine (M.D.)

James Flint

Nurse Practitioner - Psychiatric/Mental Health

NPI 1346895992
Dr. Debra Ford , MD

Psychiatry & Neurology - Child & Adolescent Psychiatry

NPI 1376618033

Doctor of Medicine (M.D.)

Michelle Ford , PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1245940014

Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Career & Practice History

NPI enumerated June 09, 2022.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from June 2022 to August 2026.

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NPI Administrative Meta

NPI Number: 1851020390
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 09, 2022
Last Update: June 09, 2022
Sole Proprietor: No

Mailing Address

1205 N Cambridge Cir

Chandler, AZ 852251601

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.