Individual provider Active NPI

Jill Coxen, LPC

  • Professional Counselor
  • Phoenix, AZ
National Provider Identifier
1134567985
Registry record updated Jun 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
14255 Issued in AZ
Practice address
11010 S 51St St
# 50402
Phoenix, AZ 85044-4311
Phone
(480) 203-0928
NPI assigned
Jun 13, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2013

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 14255 AZ Primary

Addresses

Primary practice location

11010 S 51St St
# 50402
Phoenix, AZ 85044-4311

Mailing address

PO Box 50402
Phoenix, AZ 85076-0402
Phone (480) 203-0928

Other identifiers 1

IdentifierTypeStateIssuer
14255OtherAZ LPC

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

LicenseStateTypeSpecialty
14255AZMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1371081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371081600000",
    "number": "1134567985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50402",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850760402",
            "telephone_number": "480-203-0928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11010 S 51ST ST",
            "address_2": "# 50402",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850444311",
            "telephone_number": "480-203-0928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COXEN",
        "first_name": "JILL",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-13",
        "last_updated": "2013-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "14255",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ LPC",
            "identifier": "14255",
            "state": null
        }
    ],
    "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 Jun 13, 2013; 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.