Active NPI
Janel Witherspoon, LPC
- Professional Counselor
- Phoenix, AZ
National Provider Identifier
1659838845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC-17633
- Practice address
- 34975 N North Valley Pkwy Ste 152
Phoenix, AZ 85086-4032 - Phone
- (623) 688-9158
- NPI assigned
- Feb 25, 2019
- 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-17633 | AZ | Primary |
Addresses
Primary practice location
34975 N North Valley Pkwy Ste 152
Phoenix, AZ 85086-4032
Mailing address
20118 N 67TH Ave Ste 300-315
Glendale, AZ 85308-4621
Phone (623) 688-9158
Other practice location 1
10451 W Palmeras Dr Ste 236W
Sun City, AZ 85373-2611
Phone (623) 688-9158
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LPC-17633 | Other | AZ | PROFESSIONAL COUNSELING LICENSE |
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-17633 | AZ | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Barber Creek Counseling LLC | Professional | Current | Accepting new patients |
Organizations & group practices 1
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
- Gillette, WY
- NPI 1700558400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562284800000",
"number": "1659838845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20118 N 67TH AVE STE 300-315",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853084621",
"telephone_number": "623-688-9158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34975 N NORTH VALLEY PKWY STE 152",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850864032",
"telephone_number": "623-688-9158"
}
],
"practiceLocations": [
{
"address_1": "10451 W Palmeras Dr Ste 236W",
"address_purpose": "LOCATION",
"city": "Sun City",
"state": "AZ",
"postal_code": "853732611",
"country_code": "US",
"telephone_number": "623-688-9158",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WITHERSPOON",
"first_name": "JANEL",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-02-25",
"last_updated": "2019-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AZ",
"license": "LPC-17633",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROFESSIONAL COUNSELING LICENSE",
"identifier": "LPC-17633",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.