Active NPI
George J Joumas, M.A.
- Professional Counselor
- Phoenix, AZ
National Provider Identifier
1386638492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC-0514
- Practice address
- 4545 E Shea Blvd
Suite 112
Phoenix, AZ 85028-3074 - Phone
- (602) 392-2012
- Fax
- (602) 494-1728
- NPI assigned
- Sep 2, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC-0514 | AZ | Primary |
| Clinical Psychologist | 103TC0700X | 6301007556 | MI |
Addresses
Primary practice location
4545 E Shea Blvd
Suite 112
Phoenix, AZ 85028-3074
Mailing address
4545 E Shea Blvd
Suite 112
Phoenix, AZ 85028-3074
Phone (602) 392-2012
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LPC-0514 | Other | AZ | AZ LICENSE PRO COUNSELOR |
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC-0514 | AZ | MD | Professional Counselor |
| 6301007556 | MI | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602547200000",
"number": "1386638492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4545 E SHEA BLVD",
"address_2": "SUITE 112",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850283074",
"telephone_number": "602-392-2012",
"fax_number": "602-494-1728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4545 E SHEA BLVD",
"address_2": "SUITE 112",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850283074",
"telephone_number": "602-392-2012",
"fax_number": "602-494-1728"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOUMAS",
"first_name": "GEORGE",
"middle_name": "J",
"credential": "M.A.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-02",
"last_updated": "2020-10-13",
"certification_date": "2020-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AZ",
"license": "LPC-0514",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": "6301007556",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AZ LICENSE PRO COUNSELOR",
"identifier": "LPC-0514",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
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- Patricia E Jost, FNP
- Kendra Leigh Ahrens Joswiak, DNP, CNP, FNP-C
- Jessica Renee Jouas
- David Jourabchi, DDS
- Debbie Jourgensen, NNP
- Journey Hospice LLC
- Journey Solutions Inc. (Journey Solutions Community Service Agency)
- Journey Solutions Inc. (Journey Solutions Community Service Agency)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.