Active NPI
Jill Colette Lewis, M.A. LAC, GUIDANCE
- Counselor
- Joseph City, AZ
National Provider Identifier
1770701633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- LAC-11268
- Practice address
- 8176 North Westover
Joseph City, AZ 86032 - Phone
- (928) 288-3307
- Fax
- (928) 288-3309
- NPI assigned
- Apr 23, 2007
- Last updated
- Nov 16, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | LAC-11268 | AZ | Primary |
| School Counselor | 101YS0200X | 2331144 | AZ |
Addresses
Primary practice location
8176 North Westover
Joseph City, AZ 86032
Mailing address
P.O. Box 2500
Snowflake, AZ 85937
Phone (928) 243-1441
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-11268 | AZ | MD | Counselor |
| 2331144 | AZ | MD | School Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Joseph City Unified School District #2 | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Local Education Agency (LEA)
- Joseph City, AZ
- NPI 1689723470
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258329600000",
"number": "1770701633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 2500",
"city": "SNOWFLAKE",
"state": "AZ",
"postal_code": "85937",
"telephone_number": "928-243-1441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8176 NORTH WESTOVER",
"city": "JOSEPH CITY",
"state": "AZ",
"postal_code": "86032",
"telephone_number": "928-288-3307",
"fax_number": "928-288-3309"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "JILL",
"middle_name": "COLETTE",
"name_prefix": "Mrs.",
"credential": "M.A. LAC, GUIDANCE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-23",
"last_updated": "2009-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "AZ",
"license": "LAC-11268",
"primary": true
},
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "AZ",
"license": "2331144",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Joseph City, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.