Individual provider Active NPI

Heather Dawn Sestili, MSCP, NCC, RPT, LPC

  • Mental Health Counselor
  • Glendale, AZ
National Provider Identifier
1205919271
Registry record updated Oct 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC-12830 Issued in AZ
Practice address
5940 W. Union Hills Drive
Suite D-240
Glendale, AZ 85308
Phone
(623) 341-4463
Fax
(623) 236-3079
NPI assigned
Oct 23, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2011

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 LAC-11972 AZ
Mental Health Counselor 101YM0800X LPC-12830 AZ Primary

Addresses

Primary practice location

5940 W. Union Hills Drive
Suite D-240
Glendale, AZ 85308

Mailing address

5940 W Union Hills Dr
Suite D-240
Glendale, AZ 85308-1308
Phone (623) 341-4463

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
LAC-11972AZMDMental Health Counselor
LPC-12830AZMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319241600000",
    "number": "1205919271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5940 W UNION HILLS DR",
            "address_2": "SUITE D-240",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853081308",
            "telephone_number": "623-341-4463",
            "fax_number": "623-236-3079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5940 W. UNION HILLS DRIVE",
            "address_2": "SUITE D-240",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "85308",
            "telephone_number": "623-341-4463",
            "fax_number": "623-236-3079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SESTILI",
        "first_name": "HEATHER",
        "middle_name": "DAWN",
        "name_prefix": "Mrs.",
        "credential": "MSCP, NCC, RPT, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2011-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LAC-11972",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LPC-12830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2011; 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.