Active NPI
Sarah L Daffron
- Professional Counselor
- Oracle, AZ
National Provider Identifier
1619002920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC 12460
- Practice address
- 980 E. Mt Lemmon Road
Oracle, AZ 85623 - Phone
- (480) 288-5328
- Fax
- (480) 288-5339
- NPI assigned
- Feb 23, 2007
- Sex
- Female
- Sole proprietor
- No
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 12460 | AZ | Primary |
Addresses
Primary practice location
980 E. Mt Lemmon Road
Oracle, AZ 85623
Mailing address
PO Box 3160
Apache Junction, AZ 85217-3160
Phone (480) 288-5328
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 179581 | Medicaid | AZ |
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
| License | State | Type | Specialty |
|---|---|---|---|
| LPC 12460 | AZ | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1619002920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3160",
"city": "APACHE JUNCTION",
"state": "AZ",
"postal_code": "852173160",
"telephone_number": "480-288-5328",
"fax_number": "480-288-5339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "980 E. MT LEMMON ROAD",
"city": "ORACLE",
"state": "AZ",
"postal_code": "85623",
"telephone_number": "480-288-5328",
"fax_number": "480-288-5339"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAFFRON",
"first_name": "SARAH",
"middle_name": "L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-23",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AZ",
"license": "LPC 12460",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "179581",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oracle, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.