Individual provider Active NPI

Juan Murillo Jr., LPC

  • Professional Counselor
  • Tempe, AZ
National Provider Identifier
1700450772
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-20180 Issued in AZ
Practice address
2033 E Warner Rd Ste 111
Tempe, AZ 85284-3417
Phone
(480) 818-6108
NPI assigned
May 14, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC20180 AZ
Professional Counselor 101YP2500X LPC-20180 AZ Primary

Addresses

Primary practice location

2033 E Warner Rd Ste 111
Tempe, AZ 85284-3417

Mailing address

2033 E Warner Rd Ste 111
Tempe, AZ 85284-3417
Phone (480) 818-6108

Other identifiers 1

IdentifierTypeStateIssuer
LPC-20180OtherAZSTATE OF ARIZONA BOARD OF BEHAVIORAL HEALTH EXAMINERS

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

LicenseStateTypeSpecialty
LPC20180AZMDMental Health Counselor
LPC-20180AZMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
JMJ Counseling LLC Mental Health Current Accepting new patients

Locations

2033 E Warner Rd
Ste 111
Tempe, AZ 85284
Phone (480) 818-6108

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.

NPI Registry JSON

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

{
    "created_epoch": "1620950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1700450772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2033 E WARNER RD STE 111",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852843417",
            "telephone_number": "480-818-6108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2033 E WARNER RD STE 111",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852843417",
            "telephone_number": "480-818-6108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURILLO",
        "first_name": "JUAN",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-14",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LPC20180",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-20180",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF ARIZONA BOARD OF BEHAVIORAL HEALTH EXAMINERS",
            "identifier": "LPC-20180",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; 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.