Joyce Mildred Villalobos, MA, LPC, LISAC, NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC-11785 Issued in AZ

Practice address

Gila River Health Care Corp
483 W Seed Farm Rd
Sacaton, AZ 85147

Phone

(520) 528-1200

NPI assigned

Jan 19, 2012

Last updated

Sep 3, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Mickey Ambrose Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Interoperability endpoints

• Direct secure messaging: natashac@grhc.org

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

{
    "created_epoch": "1326931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567468800000",
    "number": "1255602447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "483 W SEED FARM RD",
            "city": "SACATON",
            "state": "AZ",
            "postal_code": "851475000",
            "telephone_number": "480-438-9456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "GILA RIVER HEALTH CARE CORP",
            "address_2": "483 W SEED FARM RD",
            "city": "SACATON",
            "state": "AZ",
            "postal_code": "85147",
            "telephone_number": "520-528-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLALOBOS",
        "first_name": "JOYCE",
        "middle_name": "MILDRED",
        "name_prefix": "Mrs.",
        "credential": "MA, LPC, LISAC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-19",
        "last_updated": "2019-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "LISAC-10618",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-11785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "natashac@GRHC.ORG",
            "affiliation": "N",
            "address_1": "Gila River Health Care Corp",
            "address_2": "483 W Seed Farm RD",
            "city": "Sacaton",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "85147",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MICKEY",
            "last_name": "AMBROSE",
            "prefix": "MS.",
            "credential": "MA, LPC, LISAC, NCC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Angelica Valtierra
• Kerry Van Volkinburgh, MA,LPC
• Neena Varghese, FNP-C
• Kristy Anne Vigesaa, PHARM.D.
• Roger F Villalba, MD
• Yvonne Vo
• Peter C Wagner, D.O.
• Rachel Lynn Wahle, LMFT
• Gerald Albert Walker Jr., FNP-C
• La'Shae D Walker, LAC-22910

• Professional Counselor in Sacaton, AZ
• Providers in Sacaton, AZ by specialty
• Professional Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2019; 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.