Active NPI
Kerry Failoni, LPC
- Professional Counselor
- Gilbert, AZ
National Provider Identifier
1124572607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 13401
- Practice address
- 1425 W Elliot Rd
207
Gilbert, AZ 85233-5129 - Phone
- (480) 656-8349
- NPI assigned
- Aug 12, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 13401 | AZ | Primary |
Addresses
Primary practice location
1425 W Elliot Rd
207
Gilbert, AZ 85233-5129
Mailing address
1425 W Elliot Rd
207
Gilbert, AZ 85233-5129
Phone (480) 656-8349
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13401 | AZ | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifesong Counseling Center, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Marriage & Family Therapist
- Gilbert, AZ
- NPI 1750696662
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470960000000",
"number": "1124572607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1425 W ELLIOT RD",
"address_2": "207",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852335129",
"telephone_number": "480-656-8349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1425 W ELLIOT RD",
"address_2": "207",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852335129",
"telephone_number": "480-656-8349"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAILONI",
"first_name": "KERRY",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-12",
"last_updated": "2016-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AZ",
"license": "13401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.