Individual provider Active NPI

Jody Marie Sherwood, LAC

  • Counselor
  • Scottsdale, AZ
National Provider Identifier
1871130302
Registry record updated Dec 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LAC-18442 Issued in AZ
Practice address
9440 E Ironwood Square Dr Ste 101
Scottsdale, AZ 85258-4569
Phone
(480) 750-0095
Fax
(480) 750-0097
NPI assigned
Dec 3, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LAC-18442 AZ Primary

Addresses

Primary practice location

9440 E Ironwood Square Dr Ste 101
Scottsdale, AZ 85258-4569

Mailing address

1450 E Bell Rd Apt 3133
Phoenix, AZ 85022-2776
Phone (602) 828-3761

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-18442AZMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Alium Health LLC CurrentSince Dec 9, 2019 Accepting new patients

Locations

9440 E Ironwood Square Dr
Ste 101
Scottsdale, AZ 85258
Phone (480) 306-8195

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": "1575331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575331200000",
    "number": "1871130302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 E BELL RD APT 3133",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850222776",
            "telephone_number": "602-828-3761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9440 E IRONWOOD SQUARE DR STE 101",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584569",
            "telephone_number": "480-750-0095",
            "fax_number": "480-750-0097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERWOOD",
        "first_name": "JODY",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-03",
        "last_updated": "2019-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AZ",
            "license": "LAC-18442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.