Individual provider Active NPI

Shaniqua Julylah Rowan-Bennett, ED.D., LPC

  • Professional Counselor
  • Gilbert, AZ
National Provider Identifier
1194325688
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-19367 Issued in AZ
Practice address
3303 S Lindsay Rd Ste 108
Gilbert, AZ 85297-1504
Phone
(480) 339-7119
NPI assigned
Oct 26, 2020
Last updated
Jul 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC-19367 AZ
Professional Counselor 101YP2500X LPC-19367 AZ Primary

Addresses

Primary practice location

3303 S Lindsay Rd Ste 108
Gilbert, AZ 85297-1504

Mailing address

8329 W Mohave St
Tolleson, AZ 85353-8959

Other names 1

  • Dr. S. Julylah Rowan-Bennett Professional name

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LPC-19367AZMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Women's Health Innovations of Arizona Mental Health PastSince Nov 1, 2020 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, 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": "1603670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1194325688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8329 W MOHAVE ST",
            "city": "TOLLESON",
            "state": "AZ",
            "postal_code": "853538959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3303 S LINDSAY RD STE 108",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852971504",
            "telephone_number": "480-339-7119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROWAN-BENNETT",
        "first_name": "SHANIQUA",
        "middle_name": "JULYLAH",
        "name_prefix": "Dr.",
        "credential": "ED.D., LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-26",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LPC-19367",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-19367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "S.",
            "last_name": "ROWAN-BENNETT",
            "middle_name": "JULYLAH",
            "prefix": "DR.",
            "credential": "ED.D., LPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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 Jul 28, 2026; 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.