Individual provider Active NPI

Jill Ann Dorenbush, MA, LPC

  • Professional Counselor
  • Queen Creek, AZ
National Provider Identifier
1770973596
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC13386 Issued in AZ
Practice address
21321 E Ocotillo Rd Ste 113
Queen Creek, AZ 85142
Phone
(480) 448-9985
Fax
(480) 448-9985
NPI assigned
Feb 1, 2015
Last updated
Jun 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC13386 AZ Primary

Addresses

Primary practice location

21321 E Ocotillo Rd Ste 113
Queen Creek, AZ 85142

Mailing address

21321 E Ocotillo Rd Ste 113
Queen Creek, AZ 85142-5994
Phone (480) 448-9985

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective May 3, 2024 through May 3, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LPC13386AZMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Pure Wellness Counseling, LLC Current Accepting new patients

Locations

21321 E Ocotillo Rd
Ste 113
Queen Creek, AZ 85142
Phone (480) 448-9985

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.

NPI Registry JSON

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

{
    "created_epoch": "1422748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780444800000",
    "number": "1770973596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21321 E OCOTILLO RD STE 113",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851425994",
            "telephone_number": "480-448-9985",
            "fax_number": "480-448-9985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21321 E OCOTILLO RD STE 113",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "85142",
            "telephone_number": "480-448-9985",
            "fax_number": "480-448-9985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORENBUSH",
        "first_name": "JILL",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-01",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC13386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Queen Creek, AZ

Sources for this page

Verify at the official NPI Registry.