Individual provider Active NPI

Sandra Jeanne Guilfoyle, LPC

  • Mental Health Counselor
  • Tucson, AZ
National Provider Identifier
1386252385
Registry record updated Jul 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC-18883 Issued in AZ
Practice address
4625 E Broadway Blvd Ste 105
Tucson, AZ 85711-3575
Phone
(520) 216-7665
NPI assigned
Jul 16, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC-18883 AZ Primary

Addresses

Primary practice location

4625 E Broadway Blvd Ste 105
Tucson, AZ 85711-3575

Mailing address

4625 E Broadway Blvd Ste 105
Tucson, AZ 85711-3575
Phone (520) 400-7229

Other identifiers 1

IdentifierTypeStateIssuer
LPC-18883OtherAZAZBBHE

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

State licenses

LicenseStateTypeSpecialty
LPC-18883AZMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1594857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594857600000",
    "number": "1386252385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4625 E BROADWAY BLVD STE 105",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857113575",
            "telephone_number": "520-400-7229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4625 E BROADWAY BLVD STE 105",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857113575",
            "telephone_number": "520-216-7665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUILFOYLE",
        "first_name": "SANDRA",
        "middle_name": "JEANNE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-16",
        "last_updated": "2020-07-16",
        "certification_date": "2020-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LPC-18883",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZBBHE",
            "identifier": "LPC-18883",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2020; 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.