Individual provider Active NPI

Jetzabel Morales Pastrana, MS, LPC, NCC

  • Professional Counselor
  • Phoenix, AZ
National Provider Identifier
1114454055
Registry record updated Mar 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-18003 Issued in AZ
Practice address
4600 E Washington St Ste 300
Phoenix, AZ 85034-1908
Phone
(888) 588-8995
NPI assigned
May 22, 2017
Last updated
Mar 29, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 3241 PR
Professional Counselor 101YP2500X LPC-18003 AZ Primary

Addresses

Primary practice location

4600 E Washington St Ste 300
Phoenix, AZ 85034-1908

Mailing address

1515 N Gilbert Rd Ste 107
Gilbert, AZ 85234-2318
Phone (787) 410-1471

Other practice location 1

37 N Hibbert
Mesa, AZ 85201-7421
Phone (787) 410-1471

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
3241PRMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mi Gente Behavioral Health, PLLC Professional CurrentSince Mar 1, 2023 Accepting new patients
Cartwheel Health Services PC Professional Past Accepting new patients

Locations

1515 N Gilbert Rd
Ste 107
Gilbert, AZ 85234
Phone (480) 395-2347

37 N Hibbert
Mesa, AZ 85201
Phone (480) 409-5222

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1495411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680048000000",
    "number": "1114454055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 N GILBERT RD STE 107",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342318",
            "telephone_number": "787-410-1471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 E WASHINGTON ST STE 300",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850341908",
            "telephone_number": "888-588-8995"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "37 N Hibbert",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852017421",
            "country_code": "US",
            "telephone_number": "787-410-1471",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORALES PASTRANA",
        "first_name": "JETZABEL",
        "credential": "MS, LPC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-22",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PR",
            "license": "3241",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-18003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.