Gina Maria Candelaria, M.ED. M.C. LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC-10067 Issued in AZ

Practice address

9755 N 90TH St
Suite 290
Scottsdale, AZ 85258-5046

Phone

(480) 332-7383

Fax

(480) 451-1860

NPI assigned

Jan 30, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891832036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11771 E BECKER LN",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852594116",
            "telephone_number": "480-332-7383",
            "fax_number": "480-451-1860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9755 N 90TH ST",
            "address_2": "SUITE 290",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852585046",
            "telephone_number": "480-332-7383",
            "fax_number": "480-451-1860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANDELARIA",
        "first_name": "GINA",
        "middle_name": "MARIA",
        "name_prefix": "Mrs.",
        "credential": "M.ED. M.C. LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-10067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trudie Gail Camponovo-Barrow, M.A. CCC-SLP
• Ashley Campos Quijada
• Matthew Campouris, O.D.
• Alexandra Maria Cancio-Bello, MD
• Candace Malson NP PLC
• William James Candelori III, D.O.
• Ronald J Caniglia, M.D., F.A.C.S
• Oliver Canizales Renteria
• Charles R Cannan, MD
• April Cannon, PTA

• Professional Counselor in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Professional Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.