Eboni Joi Fields, LPC

Primary specialty

Group Psychotherapy PsychologistTaxonomy code 103TP2701X

License

LPC-18562 Issued in AZ

Practice address

2435 W Kowalsky LN
Phoenix, AZ 85041-4471

Phone

(602) 741-1660

NPI assigned

Oct 24, 2019

Last updated

Jun 5, 2024By 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

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Horizon Integrated Recovery

  • Adult Mental Health Clinic/Center
  • Phoenix, AZ
  • NPI 1396539102
  Medicare reassignment NPD
• Dwennimmen Counseling PLLC

  • Mental Health Counselor
  • Laveen, AZ
  • NPI 1487507224
  NPD Authorized official
• Cornerstone Healing Center, LLC

  dba Cornerstone Healing Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Scottsdale, AZ
  • NPI 1154823680
  NPD (past)
• HLGL LLC

  dba Recovery in Motion Treatment Center

  • Substance Abuse Rehabilitation Facility
  • Tucson, AZ
  • NPI 1295120319
  NPD (past)

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

{
    "created_epoch": "1571875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1043853807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2435 W KOWALSKY LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850414471",
            "telephone_number": "602-741-1660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2435 W KOWALSKY LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850414471",
            "telephone_number": "602-741-1660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIELDS",
        "first_name": "EBONI",
        "middle_name": "JOI",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-24",
        "last_updated": "2024-06-05",
        "certification_date": "2024-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "AZ",
            "license": "LPC-18562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Elizabeth Field, FNP-C
• Bethany Ann Fielder, COTA
• Katherine Jo Fielder, PH.D.
• Amey M Fields, RN, IBCLC
• Camryn Adeline Fields, OTD, OTR/L
• Gentry Fields
• Julie Sullivan Fields
• Lori Jean Fields, NNP
• Megan Fields
• Nicole Fields, FNP

• Group Psychotherapy Psychologist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Group Psychotherapy Psychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.