Individual provider Active NPI

Trudy Marie Soncrant, MSW,LISAC,LCSW

  • Counselor
  • Glendale, AZ
National Provider Identifier
1295807915
Registry record updated Jan 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
4055 Issued in AZ
Practice address
7155 West Campo Bello Drive
Suite B160
Glendale, AZ 85308-8529
Phone
(623) 533-5138
Fax
(623) 533-4271
NPI assigned
Nov 15, 2006
Last updated
Jan 12, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 4055 AZ Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1356 AZ

Addresses

Primary practice location

7155 West Campo Bello Drive
Suite B160
Glendale, AZ 85308-8529

Mailing address

7155 West Campo Bello Dr
Suite B160
Glendale, AZ 85308-8529
Phone (623) 533-5138

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050812000114 AZ Practitioner - Clinical Social Worker 1658300454 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Buckeye, AZ 85396
Phone (623) 533-5138

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4055AZMDCounselor
1356AZMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Arrowhead Professional Group Past Accepting new patients
Dressner Counseling Services Inc Clinical PastSince Oct 29, 2012 Accepting new patients
Life Healing Center Past Accepting new patients
True Care Counseling LLC Counselor PastSince May 2, 2005 Accepting new patients

Organizations & group practices 5

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": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231718400000",
    "number": "1295807915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7155 WEST CAMPO BELLO DR",
            "address_2": "SUITE B160",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088529",
            "telephone_number": "623-533-5138",
            "fax_number": "623-533-4271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7155 WEST CAMPO BELLO DRIVE",
            "address_2": "SUITE B160",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088529",
            "telephone_number": "623-533-5138",
            "fax_number": "623-533-4271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONCRANT",
        "first_name": "TRUDY",
        "middle_name": "MARIE",
        "credential": "MSW,LISAC,LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2009-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AZ",
            "license": "4055",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "1356",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.