Individual provider Active NPI

Sanjay Kestner, MC LPC

  • Professional Counselor
  • Phoenix, AZ
National Provider Identifier
1851852586
Registry record updated Mar 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
17936 Issued in AZ
Practice address
502 N 27TH Ave
Phoenix, AZ 85009-4420
Phone
(602) 258-6797
NPI assigned
Mar 26, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2019

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 17936 AZ Primary

Addresses

Primary practice location

502 N 27TH Ave
Phoenix, AZ 85009-4420

Mailing address

3807 N 7TH St
Phoenix, AZ 85014-5005
Phone (602) 258-6797

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
17936AZMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Therapy Current Accepting new patients

Locations

2266 S Dobson Rd
Ste 200
Mesa, AZ 85202
Phone (480) 757-8090

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1553558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553558400000",
    "number": "1851852586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3807 N 7TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850145005",
            "telephone_number": "602-258-6797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 N 27TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850094420",
            "telephone_number": "602-258-6797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KESTNER",
        "first_name": "SANJAY",
        "credential": "MC LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-26",
        "last_updated": "2019-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "17936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.