Individual provider Active NPI

Sanja Sobo, MC., LPC

  • Professional Counselor
  • Scottsdale, AZ
National Provider Identifier
1003296138
Registry record updated Apr 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC 15617 Issued in AZ
Practice address
8170 N 86TH PL Ste 206
Scottsdale, AZ 85258-4616
Phone
(424) 272-6528
NPI assigned
Jun 3, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC 15617 AZ Primary

Addresses

Primary practice location

8170 N 86TH PL Ste 206
Scottsdale, AZ 85258-4616

Mailing address

8170 N 86TH PL Ste 206
Scottsdale, AZ 85258-4616
Phone (424) 272-6528

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240401001221 AZ Practitioner - Mental Health Counselor 4183062896 Practice locations: Scottsdale, AZ

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

8170 N 86TH PL
Suite 206
Scottsdale, AZ 85258-4616
Phone (424) 272-6528

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC 15617AZMDProfessional Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1433289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681257600000",
    "number": "1003296138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8170 N 86TH PL STE 206",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584616",
            "telephone_number": "424-272-6528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8170 N 86TH PL STE 206",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584616",
            "telephone_number": "424-272-6528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOBO",
        "first_name": "SANJA",
        "credential": "MC., LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-03",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC 15617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.