Shining Light Counseling LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

SHINING LIGHT COUNSELING LLC

Practice address

16427 N Scottsdale Rd Ste 410
Scottsdale, AZ 85254-7102

Phone

(602) 456-4074

NPI assigned

Oct 24, 2023

Organization subpart

No

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

Authorized official

Name

Jennifer Carmody, LPCNPI 1285225219

Title

Therapist

Phone

(602) 456-4074

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Carmody, LPC

  • Professional Counselor
  • Scottsdale, AZ
  • NPI 1285225219
  NPD Authorized official

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

{
    "created_epoch": "1698105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698105600000",
    "number": "1093587958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16427 N SCOTTSDALE RD STE 410",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852547102",
            "telephone_number": "602-456-4074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16427 N SCOTTSDALE RD STE 410",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852547102",
            "telephone_number": "602-456-4074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHINING LIGHT COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-24",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A",
        "authorized_official_last_name": "CARMODY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "602-456-4074",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Samuel Shinault, DO
• Scott Lee Shindler, DPM
• Shine His Light LLC
• Jahaz N Shine, NMD
• Vivian Wei-Hun Shing
• Susan Shipley-Slick, O.D.
• Justin Shipman, M.D.
• Mark Shobin, ED.D.
• Jordan William Earl Shock, MD
• Rochelle Dawn Shoemaker, PHARMD

• Mental Health Counselor in Scottsdale, AZ
• Providers in Scottsdale, 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 Oct 24, 2023; 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.