Individual provider Active NPI

Corina Wright-Jack, LPC

  • Mental Health Counselor
  • Apache Junction, AZ
National Provider Identifier
1588488993
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
23335 Issued in AZ
Practice address
2066 W Apache TRL Ste 101
Apache Junction, AZ 85120-3733
Phone
(480) 999-3323
Fax
(480) 999-3324
NPI assigned
Nov 12, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 23335 AZ Primary

Addresses

Primary practice location

2066 W Apache TRL Ste 101
Apache Junction, AZ 85120-3733

Mailing address

3607 N 106TH Dr
Avondale, AZ 85392-4465
Phone (480) 450-2362

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

LicenseStateTypeSpecialty
23335AZMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
People Empowering People of Az Inc. CurrentSince Nov 17, 2024 Accepting new patients

Locations

2066 W Apache Trl
Ste 101
Apache Junction, AZ 85120
Phone (480) 503-8530

1255 W Baseline Rd
Ste 175
Mesa, AZ 85202

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1731369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1588488993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3607 N 106TH DR",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853924465",
            "telephone_number": "480-450-2362",
            "fax_number": "480-999-3324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2066 W APACHE TRL STE 101",
            "city": "APACHE JUNCTION",
            "state": "AZ",
            "postal_code": "851203733",
            "telephone_number": "480-999-3323",
            "fax_number": "480-999-3324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT-JACK",
        "first_name": "CORINA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-12",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "23335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apache Junction, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; 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.