Active NPI
Jetzabel Morales Pastrana, MS, LPC, NCC
- Professional Counselor
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC-18003
- 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, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 3241 | PR | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mi Gente Behavioral Health, PLLC | Professional | Current | 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.
-
- Professional Counselor
- Mesa, AZ
- NPI 1801597828
-
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- Cambridge, MA
- NPI 1912633975
Professional
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.