Active NPI
Sandy Jardine, M.S.
- Professional Counselor
- Phoenix, AZ
National Provider Identifier
1316085079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0556
- Practice address
- 2649 E. Beekman PL.
Phoenix, AZ 85016 - Phone
- (480) 990-9128
- Fax
- (602) 840-5255
- NPI assigned
- Feb 2, 2007
- Last updated
- May 23, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0556 | AZ | Primary |
Addresses
Primary practice location
2649 E. Beekman PL.
Phoenix, AZ 85016
Mailing address
2649 E. Beekman PL.
Phoenix, AZ 85016
Phone (480) 990-9128
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558569600000",
"number": "1316085079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2649 E. BEEKMAN PL.",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "85016",
"telephone_number": "480-990-9128",
"fax_number": "602-840-5255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2649 E. BEEKMAN PL.",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "85016",
"telephone_number": "480-990-9128",
"fax_number": "602-840-5255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JARDINE",
"first_name": "SANDY",
"name_prefix": "Mrs.",
"credential": "M.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-02",
"last_updated": "2019-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AZ",
"license": "0556",
"primary": true
}
],
"identifiers": [],
"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 May 23, 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.