Active NPI
Dustin John Ward, MA, LPC, NCC
- Professional Counselor
- Phoenix, AZ
National Provider Identifier
1548544067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC-13750
- Practice address
- 515 W Willetta St
Phoenix, AZ 85003-1203 - Phone
- (602) 451-5549
- NPI assigned
- Oct 3, 2011
- Last updated
- Aug 21, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC-13750 | AZ | Primary |
Addresses
Primary practice location
515 W Willetta St
Phoenix, AZ 85003-1203
Mailing address
515 W Willetta St
Phoenix, AZ 85003-1203
Phone (602) 451-5549
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-13750 | AZ | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377043200000",
"number": "1548544067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 W WILLETTA ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850031203",
"telephone_number": "602-451-5549"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 W WILLETTA ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850031203",
"telephone_number": "602-451-5549"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARD",
"first_name": "DUSTIN",
"middle_name": "JOHN",
"name_prefix": "Mr.",
"credential": "MA, LPC, NCC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-10-03",
"last_updated": "2013-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AZ",
"license": "LPC-13750",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.