Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Micaela Nece , LPC

Counselor β€’ Phoenix, AZ

Active NPI 1114582772 Individual Practitioner Female Practitioner
Practice location in NPPES

1904 W Parkside Ln Ste 100
Phoenix, AZ 850271232

Call 4807575885 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

1904 W Parkside Ln Ste 100

Phoenix, AZ 850271232

Telephone 4807575885
Organization at the Same NPPES Address or Phone
Clearfire Llc Facility NPI 1861226342

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

NPI first issued

2019

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, β€œDoes 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 Phoenix and Arizona

262 active clinicians are listed under Counselor with a practice address in Phoenix, AZ (1,161 in Arizona).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Phoenix

2.3% of these 262 clinicians have the CMS telehealth indicator.

5% of these 262 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 Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-12-17
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

License # reported to NPPES AZ LPC-18025

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.

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

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

19 Historical Events
πŸ‘€
Provider Name / Credentials Updated December 17, 2025

Recorded as MICAELA NECE, LPC

πŸ“
Updated Practice Location February 20, 2025

Registered at 1904 W PARKSIDE LN STE 100, PHOENIX, AZ 850271232 (Tel: 4807575885)

πŸ“
Updated Business Mailing Address February 20, 2025

Registered at 1904 W PARKSIDE LN STE 100, PHOENIX, AZ 850271232 (Tel: 4807575885)

πŸ‘€
Provider Name / Credentials Updated February 20, 2025

Recorded as MICAELA FUOCO, LPC

πŸ“
Updated Business Mailing Address April 10, 2024

Registered at 501 E PLAZA CIR STE 5, LITCHFIELD PARK, AZ 853404909 (Tel: 6232520862)

πŸ“
Updated Practice Location February 12, 2021

Registered at 501 E PLAZA CIR STE 5, LITCHFIELD PARK, AZ 853404909 (Tel: 6232520862)

πŸ“
Updated Practice Location June 16, 2020

Registered at 6529 W MIAMI ST, PHOENIX, AZ 850431940 (Tel: 6232520862)

πŸ“
Updated Business Mailing Address June 16, 2020

Registered at 2632 S 83RD AVE STE 100157, PHOENIX, AZ 850437206 (Tel: 6232520862)

πŸ“
Updated Practice Location April 22, 2020

Registered at 10000 N 31ST AVE STE D411, PHOENIX, AZ 850511358 (Tel: 9284788931)

πŸ“
Updated Business Mailing Address April 22, 2020

Registered at 10000 N 31ST AVE STE D411, PHOENIX, AZ 850511358 (Tel: 9284788931)

πŸ“
Updated Practice Location October 28, 2019

Registered at 13460 N 94TH DR STE M1, PEORIA, AZ 85381 (Tel: 6239743333)

πŸ“
Updated Business Mailing Address October 28, 2019

Registered at 13460 N 94TH DR STE M1, PEORIA, AZ 853814247 (Tel: 6239743333)

πŸ“
Updated Business Mailing Address June 07, 2019

Registered at 9440 E IRONWOOD SQUARE DR STE 101, SCOTTSDALE, AZ 852584569 (Tel: 4807500095)

βœ…
NPI Profile Active May 08, 2019

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 08, 2019

Registered at 9440 E IRONWOOD SQUARE DR STE 101, SCOTTSDALE, AZ 852584569 (Tel: 4807500095)

πŸ“
Business Mailing Address (Initial Record) May 08, 2019

Registered at 6529 W MIAMI ST, PHOENIX, AZ 850431940 (Tel: 4806959801)

πŸ‘€
Provider Name / Credentials (Initial Record) May 08, 2019

Recorded as MICAELA WAMBOLDT, LPC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 08, 2019

Counselor (license number reported to NPPES: AZ LPC-18025)

🟒
Initial NPI Registration & Enumeration May 08, 2019

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1114582772
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 08, 2019
Last Update: December 17, 2025
Sole Proprietor: No

Mailing Address

1904 W Parkside Ln Ste 100

Phoenix, AZ 850271232

Phone: 4807575885

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.