Individual provider Active NPI

Jody Light Cecil, LPC

  • Professional Counselor
  • Glendale, AZ
National Provider Identifier
1649640582
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-16981 Issued in AZ
Practice address
7121 W Bell Rd Ste 115
Glendale, AZ 85308-8555
Phone
(602) 908-0805
NPI assigned
Oct 5, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC-16981 AZ Primary

Addresses

Primary practice location

7121 W Bell Rd Ste 115
Glendale, AZ 85308-8555

Mailing address

7121 W Bell Rd Ste 115
Glendale, AZ 85308-8555
Phone (602) 908-0805

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jody@takingrootcounseling.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jun 26, 2026 through Jun 26, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LPC-16981AZMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Taking Root Counseling LLC CurrentSince May 24, 2020 Accepting new patients
Lifesong Counseling Center, LLC Past Accepting new patients

Locations

7121 W Bell Rd
Ste 115
Glendale, AZ 85308
Phone (602) 599-2000

Organizations & group practices 2

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": "1444003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1649640582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7121 W BELL RD STE 115",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088555",
            "telephone_number": "602-908-0805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7121 W BELL RD STE 115",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088555",
            "telephone_number": "602-908-0805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CECIL",
        "first_name": "JODY",
        "middle_name": "LIGHT",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-05",
        "last_updated": "2023-11-27",
        "certification_date": "2020-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-16981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jody@takingrootcounseling.com",
            "affiliation": "Y",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Glendale",
            "address_1": "7121 W Bell Rd Ste 115",
            "city": "Glendale",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853088555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.