Individual provider Active NPI

Dara N Rampersad, PH.D., LPC., NCC

  • Professional Counselor
  • Phoenix, AZ
National Provider Identifier
1336337583
Registry record updated Jul 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-12792 Issued in AZ
Practice address
1802 E Thomas Rd
Phoenix, AZ 85016-8134
Phone
(602) 302-7807
Fax
(602) 258-6140
NPI assigned
Oct 11, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC-4744 CO
Professional Counselor 101YP2500X LPC-12792 AZ Primary
Forensic Psychologist 103TF0200X PSY-1275 HI

Addresses

Primary practice location

1802 E Thomas Rd
Phoenix, AZ 85016-8134

Mailing address

3003 N Central Ave
Ste 200
Phoenix, AZ 85012-2902
Phone (602) 302-7896

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
LPC-12792AZMDProfessional Counselor
LPC-4744COMDProfessional Counselor
PSY-1275HIMDForensic Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
State of Hawaii Department of Health Past Accepting new patients
Terros, Inc. Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1192060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436313600000",
    "number": "1336337583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 N CENTRAL AVE",
            "address_2": "STE 200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122902",
            "telephone_number": "602-302-7896",
            "fax_number": "602-302-7925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 E THOMAS RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850168134",
            "telephone_number": "602-302-7807",
            "fax_number": "602-258-6140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMPERSAD",
        "first_name": "DARA",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "PH.D., LPC., NCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-11",
        "last_updated": "2015-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC-4744",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-12792",
            "primary": true
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "HI",
            "license": "PSY-1275",
            "primary": false
        }
    ],
    "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 Jul 8, 2015; 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.