Active NPI
Jan Sickler, LPC
- Mental Health Counselor
- Scottsdale, AZ
National Provider Identifier
1407023658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 10181
- Practice address
- 4300 N Miller Rd
Scottsdale, AZ 85251-3619 - Phone
- (480) 941-4247
- Fax
- (480) 427-4010
- NPI assigned
- May 15, 2008
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 10181 | AZ | Primary |
Addresses
Primary practice location
4300 N Miller Rd
Scottsdale, AZ 85251-3619
Mailing address
4300 N Miller Rd
Scottsdale, AZ 85251-3619
Phone (480) 941-4247
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
| License | State | Type | Specialty |
|---|---|---|---|
| 10181 | AZ | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210809600000",
"number": "1407023658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4300 N MILLER RD",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852513619",
"telephone_number": "480-941-4247",
"fax_number": "480-427-4010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4300 N MILLER RD",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852513619",
"telephone_number": "480-941-4247",
"fax_number": "480-427-4010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SICKLER",
"first_name": "JAN",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-15",
"last_updated": "2008-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AZ",
"license": "10181",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.