Bianca Tara Ibarra, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC-16734 Issued in AZ

Practice address

10439 S 51St St
Phoenix, AZ 85044-5222

Phone

(480) 635-9944

NPI assigned

Jun 19, 2017

Last updated

Jun 19, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1497830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497830400000",
    "number": "1033649272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "743 E SIERRA VISTA DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850141221",
            "telephone_number": "480-406-2979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10439 S 51ST ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850445222",
            "telephone_number": "480-635-9944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBARRA",
        "first_name": "BIANCA",
        "middle_name": "TARA",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-19",
        "last_updated": "2017-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LPC-16734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iatriko, LLC (Foothills Family Medicine)
• Olivia Ibach, PTA
• Gafary Ibanez Valera, CAREGIVER, DA
• Jacqueline Ibarra Gonzalez
• Audra Corona Ibarra
• Carolien Ibarra, SLP
• Diana Ibarra, LPC
• Lauren Nicole Ibarra, D.O.
• Marisol Ibarra
• Nicole Ibarra

• Mental Health Counselor in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Mental Health Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.