Jennifer Sobel, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC-20360 Issued in AZ

Practice address

2605 Cactus Road
Cornville, AZ 86325

Phone

(928) 639-1313

NPI assigned

Dec 27, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Red Mountain Recovery, LLC

  • Community/Behavioral Health Agency
  • Sedona, AZ
  • NPI 1265836837
  NPD (past)

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

{
    "created_epoch": "1514332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657238400000",
    "number": "1366958464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4485 N EAGLE CIR",
            "city": "RIMROCK",
            "state": "AZ",
            "postal_code": "863355136",
            "telephone_number": "602-418-9132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 CACTUS ROAD",
            "city": "CORNVILLE",
            "state": "AZ",
            "postal_code": "86325",
            "telephone_number": "928-639-1313"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4485 N Eagle Cir",
            "address_purpose": "LOCATION",
            "city": "Rimrock",
            "state": "AZ",
            "postal_code": "863355136",
            "country_code": "US",
            "telephone_number": "602-418-9132",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOBEL",
        "first_name": "JENNIFER",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-27",
        "last_updated": "2022-07-08",
        "certification_date": "2022-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "15112",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LAC-18244",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LPC-20360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryl L Pence, PHD, LPC, LPCC-S,NCC
• Angela Rockow, MA, CCC-SLP
• Sharon Lee Shapiro, LMT
• Cynthia Shepard, RPH
• Shaida Zahra Sina, N.M.D.
• Sheri Stewart, RN
• The Sanctuary at Sedona
• Debbie Ann Wasson, N.D.
• Sheena Wilson

• All providers in Cornville, AZ
• Mental Health Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2022; 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.