Marguerite Ann Gundacker, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC-20747 Issued in AZ

Practice address

2490 Sandia Dr
Prescott, AZ 86301

Phone

(928) 361-9198

Fax

(928) 420-8221

NPI assigned

Sep 2, 2019

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

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1567382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679011200000",
    "number": "1528616653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "186 E SHELDON ST # 1141",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863013114",
            "telephone_number": "928-361-9198",
            "fax_number": "928-420-8221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2490 SANDIA DR",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "86301",
            "telephone_number": "928-361-9198",
            "fax_number": "928-420-8221"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "510 E Moeller St",
            "address_purpose": "LOCATION",
            "city": "Prescott",
            "state": "AZ",
            "postal_code": "863012612",
            "country_code": "US",
            "telephone_number": "928-273-0027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUNDACKER",
        "first_name": "MARGUERITE",
        "middle_name": "ANN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-02",
        "last_updated": "2023-03-17",
        "certification_date": "2023-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-20747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Larry L. Grimm, ED.D.
• Kory Mae Gross
• Annette Marie Guidry-Dunbar, MS,CCC-SLP
• Caitlin Marie Guinn, APRN, FNP-BC
• Stephen M Gulley, PHARMACIST
• Dove Marie Gundermann
• Emily Gunnerson
• Harald Gutgsell, MD
• Ariane R Guthrie, PHARMD, BCPS
• H. Wayne Chesser DDS PLLC

• Professional Counselor in Prescott, AZ
• Providers in Prescott, AZ by specialty
• Professional Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.