Individual provider Active NPI

Mandee Sue Rowley Bahadar, PHD, LPC

  • Professional Counselor
  • Tempe, AZ
National Provider Identifier
1851577944
Registry record updated May 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-11737 Issued in AZ
Practice address
7560 S Willow Dr
Tempe, AZ 85283-5004
Phone
(480) 584-4412
NPI assigned
Jan 18, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2019

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 LPC-11737 AZ
Professional Counselor 101YP2500X LPC-11737 AZ Primary

Addresses

Primary practice location

7560 S Willow Dr
Tempe, AZ 85283-5004

Mailing address

2345 W Glendale Ave
Phoenix, AZ 85021-7672
Phone (602) 279-0008

Other practice location 1

2345 W Glendale Ave
Phoenix, AZ 85021-7672
Phone (602) 279-0008 ext. 109

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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
LPC-11737AZMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1200614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557360000000",
    "number": "1851577944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2345 W GLENDALE AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850217672",
            "telephone_number": "602-279-0008",
            "fax_number": "602-279-2004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7560 S WILLOW DR",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852835004",
            "telephone_number": "480-584-4412"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2345 W Glendale Ave",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850217672",
            "country_code": "US",
            "telephone_number": "602-279-0008 x109",
            "fax_number": "602-279-2004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAHADAR",
        "first_name": "MANDEE",
        "middle_name": "SUE ROWLEY",
        "name_prefix": "Dr.",
        "credential": "PHD, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-18",
        "last_updated": "2019-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LPC-11737",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-11737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2019; 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.