Active NPI
Jordanna Lavina Saunders, LPC
- Counselor
- Goodyear, AZ
National Provider Identifier
1659679686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- LPC-14035
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LCPC 2226 | Other | KS | LICENSE |
| LPC-14035 | Other | AZ | LICENSE |
Other names 1
- Mrs. Jordanna Lavina Burkett Crist
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-14035 | AZ | MD | Counselor |
| LCPC 2226 | KS | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Compass Behavioral Health | Past | 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.
-
- Professional Counselor
- Goodyear, AZ
- NPI 1063999860
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Garden City, KS
- NPI 1922058510
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.