Shireen A Aghdami, MA, LPC, LISAC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC-21199 Issued in AZ

Practice address

3377 S Price Rd Ste 105
Chandler, AZ 85248-3576

Phone

(480) 725-8477

Fax

(480) 907-1233

NPI assigned

Mar 22, 2021

Last updated

Jul 10, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1616371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1659957470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4768 E WATERMAN ST UNIT 102",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852972452",
            "telephone_number": "480-789-3164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3377 S PRICE RD STE 105",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852483576",
            "telephone_number": "480-725-8477",
            "fax_number": "480-907-1233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGHDAMI",
        "first_name": "SHIREEN",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "MA, LPC, LISAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-22",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "LISAC-155252",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-21199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Agave Matrix LLC
• Agh Laveen LLC (Dignity Health Arizona General Hospital Emergency Room)
• Agh Laveen LLC (Dignity Health Arizona General Hospital Emergency Room)
• Agh Mesa LLC (Dignity Health Arizona General Hospital Emergency Room - Chandler)
• Agh Mesa LLC (Dignity Health Arizona General Hospital Emergency Room - Chandler McQu)
• Courtney Agliano
• Kush Agrawal, MD
• Yashwant Agrawal, MD
• Clarrissa Aguila
• Ernesto Jesus Aguila

• Professional Counselor in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Professional Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.