Individual provider Active NPI

Jamie Dana, M.C., LPC

  • Mental Health Counselor
  • Glendale, AZ
National Provider Identifier
1831418706
Registry record updated Apr 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC-16093 Issued in AZ
Practice address
18205 N 51St Ave Ste 131
Glendale, AZ 85308-1492
Phone
(602) 499-5329
NPI assigned
May 18, 2010
Last updated
Apr 2, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2020

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 LAC-12485 AZ
Mental Health Counselor 101YM0800X LPC-16093 AZ Primary

Addresses

Primary practice location

18205 N 51St Ave Ste 131
Glendale, AZ 85308-1492

Mailing address

21436 N 78TH Dr
Peoria, AZ 85382-3337
Phone (602) 695-8398

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address admin@elevatecounselingaz.com Direct

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
LAC-12485AZMDMental Health Counselor
LPC-16093AZMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Dana Therapeutic Services Mental Health CurrentSince Apr 5, 2020 Accepting new patients

Locations

18205 N 51st Ave
Ste 131
Glendale, AZ 85308
Phone (602) 320-3101

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": "1274140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585785600000",
    "number": "1831418706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21436 N 78TH DR",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853823337",
            "telephone_number": "602-695-8398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18205 N 51ST AVE STE 131",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853081492",
            "telephone_number": "602-499-5329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANA",
        "first_name": "JAMIE",
        "credential": "M.C., LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-18",
        "last_updated": "2020-04-02",
        "certification_date": "2020-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LAC-12485",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LPC-16093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@elevatecounselingaz.com",
            "affiliation": "N",
            "endpointDescription": "encrypted email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "18205 N 51st Ave Ste 131",
            "city": "Glendale",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853081492",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2020; 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.