Carol Elizabeth Gunderson, LASAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

LASAC-15120 Issued in AZ

Practice address

5010 E Shea Blvd Ste D202
Scottsdale, AZ 85254-4570

Phone

(602) 569-4328

NPI assigned

Feb 11, 2020

Last updated

Feb 11, 2020By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1581379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581379200000",
    "number": "1700418332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5225 N 18TH DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850153037",
            "telephone_number": "602-206-6784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5010 E SHEA BLVD STE D202",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852544570",
            "telephone_number": "602-569-4328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUNDERSON",
        "first_name": "CAROL",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "LASAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-11",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "LASAC-15120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shilpa Gujrathi, M.D.
• Frank Anthony Gulino, D.C.
• Orest N Gulka, MD
• Tyler Gulla, PT, DPT
• David J Gullen, M.D.
• Kalley Gunderson
• Sommer Rachael Gunia, D.O.
• Susanne Marie Angela Gunther
• Aditya Gupta, M.D.
• Amar C Gupta, M.D.

• Addiction (Substance Use Disorder) Counselor in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Addiction (Substance Use Disorder) Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2020; 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.