Individual provider Active NPI

Jordanna Lavina Saunders, LPC

  • Counselor
  • Goodyear, AZ
National Provider Identifier
1659679686
Registry record updated Jul 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LPC-14035 Issued in AZ
Practice address
2990 N Litchfield Rd Ste 7
Goodyear, AZ 85395
Phone
(602) 626-0540
NPI assigned
Feb 28, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LCPC 2226 KS
Counselor 101Y00000X LPC-14035 AZ Primary

Addresses

Primary practice location

2990 N Litchfield Rd Ste 7
Goodyear, AZ 85395

Mailing address

2990 N Litchfield Rd Ste 7
Goodyear, AZ 85395-7800
Phone (480) 374-3523

Other practice location 1

210 W 4th St
Scott City, KS 67871-1168
Phone (620) 872-5338

Other practice location 2

2452 N 161st Ave
Goodyear, AZ 85395-7594
Phone (480) 374-3523

Other identifiers 2

IdentifierTypeStateIssuer
LCPC 2226OtherKSLICENSE
LPC-14035OtherAZLICENSE

Other names 1

  • Mrs. Jordanna Lavina Burkett Crist Former name

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
LPC-14035AZMDCounselor
LCPC 2226KSMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Compass Behavioral Health PastSince Mar 23, 2016 Accepting new patients
Trauma Recovery Services of Arizona, PLLC Professional Past Accepting new patients

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": "1298851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532390400000",
    "number": "1659679686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2990 N LITCHFIELD RD STE 7",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853957800",
            "telephone_number": "480-374-3523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2990 N LITCHFIELD RD STE 7",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "85395",
            "telephone_number": "602-626-0540"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 W 4th St",
            "address_purpose": "LOCATION",
            "city": "Scott City",
            "state": "KS",
            "postal_code": "678711168",
            "country_code": "US",
            "telephone_number": "620-872-5338",
            "fax_number": "620-872-2879",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2452 N 161st Ave",
            "address_purpose": "LOCATION",
            "city": "Goodyear",
            "state": "AZ",
            "postal_code": "853957594",
            "country_code": "US",
            "telephone_number": "480-374-3523",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAUNDERS",
        "first_name": "JORDANNA",
        "middle_name": "LAVINA",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-28",
        "last_updated": "2018-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KS",
            "license": "LCPC 2226",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AZ",
            "license": "LPC-14035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "LCPC 2226",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "LPC-14035",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JORDANNA",
            "last_name": "BURKETT CRIST",
            "middle_name": "LAVINA",
            "prefix": "MRS.",
            "credential": "MC LCPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Goodyear, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2018; 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.