Individual provider Active NPI

Jeremy James Pumphrey, MS-MFT, LAC

  • Professional Counselor
  • Sacaton, AZ
National Provider Identifier
1104452507
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-19679 Issued in AZ
Practice address
438 W Seed Farm Rd,
Sacaton, AZ 85147
Phone
(520) 562-3321
NPI assigned
Mar 17, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2025

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-19679 AZ Primary

Addresses

Primary practice location

438 W Seed Farm Rd,
Sacaton, AZ 85147

Mailing address

PO Box 38
Sacaton, AZ 85147-0001
Phone (520) 562-3321

Other practice location 1

201 W Guadalupe Rd Ste 301
Gilbert, AZ 85233-3333
Phone (480) 870-8080

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
I20250528000780 AZ Practitioner - Mental Health Counselor 4981123403 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Escalera Health LLCGroup PAC ID 1951650985, 55 clinicians

Practice addresses (Care Compare)

13925 W Meeker Blvd
Suite 9
Sun City West, AZ 85375-4431
Phone (480) 780-3030

2224 N Craycroft Rd
Suite 100
Tucson, AZ 85712-2811
Phone (520) 209-1919

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Counseling LLC Mental Health CurrentSince Jun 18, 2025 Accepting new patients
Escalera Health LLC CurrentSince Jun 9, 2025 Accepting new patients
Transitions Counseling and Consulting Mental Health Past Accepting new patients

Locations

809 W Riordan Rd
Ste 202
Flagstaff, AZ 86001

201 W Guadalupe Rd
Ste 301
Gilbert, AZ 85233
Phone (480) 870-8080

13925 W Meeker Blvd
Ste 9
Sun City West, AZ 85375
Phone (480) 780-3030

4801 S Lakeshore Dr
Ste 207
Tempe, AZ 85282
Phone (623) 323-8962

333 E Wetmore Rd
Ste 137
Tucson, AZ 85705
Phone (602) 357-9986

2850 N Country Club Rd
Tucson, AZ 85716
Phone 52032262747104

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1584403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748822400000",
    "number": "1104452507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 38",
            "city": "SACATON",
            "state": "AZ",
            "postal_code": "851470001",
            "telephone_number": "520-562-3321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "438 W SEED FARM RD,",
            "city": "SACATON",
            "state": "AZ",
            "postal_code": "85147",
            "telephone_number": "520-562-3321"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 W Guadalupe Rd Ste 301",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852333333",
            "country_code": "US",
            "telephone_number": "480-870-8080",
            "fax_number": "480-999-4707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PUMPHREY",
        "first_name": "JEREMY",
        "middle_name": "JAMES",
        "credential": "MS-MFT, LAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-17",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-19679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacaton, AZ

Sources for this page

Verify at the official NPI Registry.