Sierra Jodee Kwast

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LAC-22072 Issued in AZ

Practice address

24568 N 144TH Dr
Surprise, AZ 85387-7037

Phone

(623) 512-5109

NPI assigned

Aug 22, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1692662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692662400000",
    "number": "1437933306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24568 N 144TH DR",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853877037",
            "telephone_number": "623-512-5109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24568 N 144TH DR",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853877037",
            "telephone_number": "623-512-5109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWAST",
        "first_name": "SIERRA",
        "middle_name": "JODEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-22",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LAC-22072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Lisondra Krings, MSN,FNP
• Robert Scott Krohn, PHARMD
• Valerie Renee Kufer, RN
• Superna Kundra, M.D
• Aminata Kuyateh
• Kyle D Guidry
• L Philipp Wall MD PC
• Meghann E La Marca, P.T.
• Cammy Labay, COTA/L
• Rebecca Labombard

• Mental Health Counselor in Surprise, AZ
• Providers in Surprise, AZ by specialty
• Mental Health Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; 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.