Katharine G Defer, LAC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

LAC-22099 Issued in AZ

Practice address

6811 E Superstition Springs Blvd
Mesa, AZ 85209-4001

Phone

(623) 570-2859

NPI assigned

Dec 5, 2023

Sex

Female

Sole proprietor

No

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": "1701734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701734400000",
    "number": "1588431027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1535 N SCOTTSDALE RD APT 3103",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852881596",
            "telephone_number": "162-357-0285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6811 E SUPERSTITION SPRINGS BLVD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852094001",
            "telephone_number": "623-570-2859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEFER",
        "first_name": "KATHARINE",
        "middle_name": "G",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-05",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AZ",
            "license": "LAC-22099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Christian Dedman
• Craig Brian Defries, D.C.
• Ashley Anne Degroff, PA-C
• Dawn Deguire, OTR
• Sara Deharty, RN
• Brenda Kay Del Monte, MA, CCC-SLP

• Counselor in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.