Active NPI
Ashleigh Marie Gudgeon, MA, LPC
- Professional Counselor
- Glendale, AZ
National Provider Identifier
1801192356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC-13571
- Practice address
- 17505 N 79TH Ave
Ste 111E
Glendale, AZ 85308-8725 - Phone
- (480) 254-6395
- NPI assigned
- Feb 1, 2011
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC-13571 | AZ | Primary |
Addresses
Primary practice location
17505 N 79TH Ave
Ste 111E
Glendale, AZ 85308-8725
Mailing address
16742 W Mohave St
Goodyear, AZ 85338-7369
Phone (623) 570-5068
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC-13571 | AZ | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296518400000",
"number": "1801192356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16742 W MOHAVE ST",
"city": "GOODYEAR",
"state": "AZ",
"postal_code": "853387369",
"telephone_number": "623-570-5068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17505 N 79TH AVE",
"address_2": "STE 111E",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853088725",
"telephone_number": "480-254-6395"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUDGEON",
"first_name": "ASHLEIGH",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "MA, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-02-01",
"last_updated": "2011-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AZ",
"license": "LPC-13571",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, AZ
- Bereket Azeze Guangul, M.D.
- Cecil Ariana Guardado, DO
- Sarah Elaine Guasp, MS, BCBA, LBA
- Doniel Eugene Gudeman, MABC
- Nicole Elizabeth Gudenau, M. A., BCBA, LBA
- Elizabeth Swanson Gue, M.S., CCC-SLP
- Delia Emilia Guerrieri, PMHNP
- Sarah Joann Guest, PHARMD
- Alyssa Talya Guetter-Peters, RBT
- Bernardo Guevara, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.