Active NPI
Arbita K Ferozepurwalla, LPC
- Counselor
- Phoenix, AZ
National Provider Identifier
1245613447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- LPC-16111
- Practice address
- 3807 N 7TH St
Phoenix, AZ 85014-5005 - Phone
- (602) 258-6797
- NPI assigned
- Jul 7, 2015
- Last updated
- Sep 29, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | LPC-16111 | AZ | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 15040 | AZ |
Addresses
Primary practice location
3807 N 7TH St
Phoenix, AZ 85014-5005
Mailing address
15801 W Apache St
Goodyear, AZ 85338-9400
Phone (602) 434-0442
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LPC-16111 | Other | AZ | ARIZONA BOARD OF BEHAVIORAL HEALTH EXAMINERS |
| LISAC-15040 | Other | AZ | ARIZONA BOARD OF BEHAVIORAL HEALTH EXAMINERS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC-16111 | AZ | MD | Counselor |
| 15040 | AZ | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Circle the City | Current | Accepting new patients | |
| Circle the City | Current | Accepting new patients | |
| Sage Counseling, Inc. | Past | Accepting new patients | |
| Sage Counseling, Inc. | Past | Accepting new patients | |
| Sage Counseling, Inc. | Past | Accepting new patients |
Locations
3522 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 776-7676
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Phoenix, AZ
- NPI 1346588316
-
- Federally Qualified Health Center (FQHC)
- Phoenix, AZ
- NPI 1487033247
-
- Community/Behavioral Health Agency
- Phoenix, AZ
- NPI 1568970135
-
- Community/Behavioral Health Agency
- Yuma, AZ
- NPI 1730677469
-
- Community/Behavioral Health Agency
- Phoenix, AZ
- NPI 1891294021
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475107200000",
"number": "1245613447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15801 W APACHE ST",
"city": "GOODYEAR",
"state": "AZ",
"postal_code": "853389400",
"telephone_number": "602-434-0442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3807 N 7TH ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850145005",
"telephone_number": "602-258-6797"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FEROZEPURWALLA",
"first_name": "ARBITA",
"middle_name": "K",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-07",
"last_updated": "2016-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "AZ",
"license": "LPC-16111",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "AZ",
"license": "15040",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARIZONA BOARD OF BEHAVIORAL HEALTH EXAMINERS",
"identifier": "LPC-16111",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARIZONA BOARD OF BEHAVIORAL HEALTH EXAMINERS",
"identifier": "LISAC-15040",
"state": "AZ"
}
],
"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 Sep 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.