Jerome S Ehmann, LPC, LISAC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

15151 Issued in AZ

Practice address

7600 N 15TH St Ste 36
Phoenix, AZ 85020-4327

Phone

(602) 321-0105

NPI assigned

Jan 8, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1578441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614902400000",
    "number": "1124668181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2851 E MISSION LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850285324",
            "telephone_number": "719-338-8535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 N 15TH ST STE 36",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850204327",
            "telephone_number": "602-321-0105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EHMANN",
        "first_name": "JEROME",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "LPC, LISAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-08",
        "last_updated": "2021-03-05",
        "certification_date": "2021-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "15151",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "15151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa A Ehlenberger-Witt, MA, CAGS
• Lydia Ehlenberger, MD
• Dana Lynn Ehlers, PMHNP
• Erika Elisa Ehlert
• Kayla Ann Ehling
• Thomas Charles Ehmann
• Nicholas Ehrecke, DPT
• Denise E Ehrler, RNFA
• Ellana Ehrler, PA-C
• Carolyn Jeanne Ehrlich, PSYCHIATRIC NURSE PR

• Mental Health Counselor in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Mental Health Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2021; 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.