Active NPI
Ashley Renee Gunn, MS, LPC
- Professional Counselor
- Surprise, AZ
National Provider Identifier
1629452578
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC-17929
- Practice address
- 12211 W Bell Rd Ste 205
Surprise, AZ 85378-9522 - Phone
- (623) 400-3766
- NPI assigned
- Jul 9, 2015
- Last updated
- Oct 11, 2021
- Sex
- Female
- 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-17929 | AZ | Primary |
Addresses
Primary practice location
12211 W Bell Rd Ste 205
Surprise, AZ 85378-9522
Mailing address
15411 W Waddell Rd Ste 102
Surprise, AZ 85379-5170
Phone (623) 400-3766
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Dec 12, 2024 through Dec 12, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC-17929 | AZ | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633910400000",
"number": "1629452578",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15411 W WADDELL RD STE 102",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853795170",
"telephone_number": "623-400-3766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12211 W BELL RD STE 205",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853789522",
"telephone_number": "623-400-3766"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUNN",
"first_name": "ASHLEY",
"middle_name": "RENEE",
"name_prefix": "Mrs.",
"credential": "MS, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-07-09",
"last_updated": "2021-10-11",
"certification_date": "2021-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AZ",
"license": "LPC-17929",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Surprise, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.