Individual provider Active NPI

Ziongloria Hezekiah, MS

  • Pastoral Counselor
  • Avondale, AZ
National Provider Identifier
1700426392
Registry record updated Nov 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pastoral CounselorTaxonomy code 101YP1600X
License
NONE Issued in MS
Practice address
11979 W. Fillmore St
Avondale, AZ 85323
Phone
(520) 709-5418
NPI assigned
Jan 10, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NONE MS
Pastoral Counselor 101YP1600X NONE MS Primary

Addresses

Primary practice location

11979 W. Fillmore St
Avondale, AZ 85323

Mailing address

11979 W. Fillmore St
Avondale, AZ 85323
Phone (520) 709-5418

Other identifiers 2

IdentifierTypeStateIssuer
520-709-5418OtherAZPHONE 520-709-5418
520-709-5418OtherMSPHONE 520-709-5418

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL Voss-Services.com Other
CONNECT URL Voss-Services.com Other

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
NONEMSMDDiagnostic Radiology Physician

NPI Registry JSON

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

{
    "created_epoch": "1578614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668556800000",
    "number": "1700426392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11979 W. FILLMORE ST",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "85323",
            "telephone_number": "520-709-5418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11979 W. FILLMORE ST",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "85323",
            "telephone_number": "520-709-5418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEZEKIAH",
        "first_name": "ZIONGLORIA",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-10",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MS",
            "license": "NONE",
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "MS",
            "license": "NONE",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHONE 520-709-5418",
            "identifier": "520-709-5418",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHONE 520-709-5418",
            "identifier": "520-709-5418",
            "state": "MS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Voss-Services.com",
            "affiliation": "N",
            "endpointDescription": "web-site",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "information exchange",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2436 Beach Blvd Apt X2",
            "city": "Biloxi",
            "state": "MS",
            "country_code": "US",
            "postal_code": "395314907",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Voss-Services.com",
            "affiliation": "N",
            "endpointDescription": "web-site",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "information exchange",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2436 Beach Blvd Apt X2",
            "city": "Biloxi",
            "state": "MS",
            "country_code": "US",
            "postal_code": "395314907",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Avondale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2022; 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.