Gretchen Elizabeth Herndon, MA, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC-15938 Issued in AZ

Practice address

103 N 1St Ave
Holbrook, AZ 86025-2901

Phone

(928) 524-6126

Fax

(928) 524-6090

NPI assigned

Jan 27, 2016

Sex

Female

Sole proprietor

No

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

• Painted Desert Counseling

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Holbrook, AZ
  • NPI 1225632565
  NPD Authorized official

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 1, 2020.

{
    "created_epoch": "1453852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606780800000",
    "number": "1104283654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 N 1ST AVE",
            "city": "HOLBROOK",
            "state": "AZ",
            "postal_code": "860252901",
            "telephone_number": "928-524-6126",
            "fax_number": "928-524-6090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 N 1ST AVE",
            "city": "HOLBROOK",
            "state": "AZ",
            "postal_code": "860252901",
            "telephone_number": "928-524-6126",
            "fax_number": "928-524-6090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1310 Smithson Dr",
            "address_purpose": "LOCATION",
            "city": "Holbrook",
            "state": "AZ",
            "postal_code": "860251947",
            "country_code": "US",
            "telephone_number": "928-503-1827",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNDON",
        "first_name": "GRETCHEN",
        "middle_name": "ELIZABETH",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-27",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-15938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bach Ha, PHARMD
• Clarence H Hansen, DDS
• Keith Dee Hatfield, RPH
• Mary Ann Henry, PA-C
• Karen Crystal Hernandez
• Jessica Ann Schauer Herrera, CCC-SLP
• Holbrook EMS Inc.
• Holbrook Senior Citizens Association
• Holbrook Senior Citizens Association
• Holbrook Senior Citizens Association

• All providers in Holbrook, AZ
• Professional Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; 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.