Active NPI
Jerry D Slaton, LAC
- Counselor
- Tempe, AZ
National Provider Identifier
1881877967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- LAC-12153
- Practice address
- 2120 S McClintock Dr
Ste. 105
Tempe, AZ 85282-2692 - Phone
- (480) 804-0326
- Fax
- (480) 804-0083
- NPI assigned
- Dec 11, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | LAC-12153 | AZ | Primary |
Addresses
Primary practice location
2120 S McClintock Dr
Ste. 105
Tempe, AZ 85282-2692
Mailing address
1400 E Southern Ave
Ste. 735
Tempe, AZ 85282-5691
Phone (480) 804-0326
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
| License | State | Type | Specialty |
|---|---|---|---|
| LAC-12153 | AZ | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492905600000",
"number": "1881877967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 E SOUTHERN AVE",
"address_2": "STE. 735",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852825691",
"telephone_number": "480-804-0326",
"fax_number": "480-804-0083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2120 S MCCLINTOCK DR",
"address_2": "STE. 105",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852822692",
"telephone_number": "480-804-0326",
"fax_number": "480-804-0083"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLATON",
"first_name": "JERRY",
"middle_name": "D",
"credential": "LAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-12-11",
"last_updated": "2017-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "AZ",
"license": "LAC-12153",
"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 Apr 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.