Active NPI
Jayden Gubbels, LAC
- Mental Health Counselor
- Sierra Vista, AZ
National Provider Identifier
1750220133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LAC-23890
- Practice address
- 2300 E Fry Blvd Unit 1176
Sierra Vista, AZ 85636-7049 - Phone
- (520) 442-2146
- NPI assigned
- Mar 27, 2026
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LAC-23890 | AZ | Primary |
Addresses
Primary practice location
2300 E Fry Blvd Unit 1176
Sierra Vista, AZ 85636-7049
Mailing address
PO Box 1176
Sierra Vista, AZ 85636-1176
Phone (520) 442-2146
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 |
|---|---|---|---|
| LAC-23890 | AZ | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1774569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774569600000",
"number": "1750220133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1176",
"city": "SIERRA VISTA",
"state": "AZ",
"postal_code": "856361176",
"telephone_number": "520-442-2146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 E FRY BLVD UNIT 1176",
"city": "SIERRA VISTA",
"state": "AZ",
"postal_code": "856367049",
"telephone_number": "520-442-2146"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUBBELS",
"first_name": "JAYDEN",
"credential": "LAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-03-27",
"last_updated": "2026-03-27",
"certification_date": "2026-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AZ",
"license": "LAC-23890",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sierra Vista, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.