Individual provider Active NPI

Sharon Pishotta, LIAC

  • Addiction (Substance Use Disorder) Counselor
  • Glendale, AZ
National Provider Identifier
1902750177
Registry record updated Feb 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
155403 Issued in AZ
Practice address
18301 N 79TH Ave
Glendale, AZ 85308-8463
Phone
(480) 347-2715
Fax
(623) 248-3060
NPI assigned
Feb 24, 2026
Last updated
Feb 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 155403 AZ Primary

Addresses

Primary practice location

18301 N 79TH Ave
Glendale, AZ 85308-8463

Mailing address

18301 N 79TH Ave
Glendale, AZ 85308-8463
Phone (480) 347-2715

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
155403AZMDCertified Registered Nurse Anesthetist

NPI Registry JSON

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

{
    "created_epoch": "1771891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771891200000",
    "number": "1902750177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18301 N 79TH AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088463",
            "telephone_number": "480-347-2715",
            "fax_number": "623-248-3060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18301 N 79TH AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088463",
            "telephone_number": "480-347-2715",
            "fax_number": "623-248-3060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PISHOTTA",
        "first_name": "SHARON",
        "credential": "LIAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-02-24",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "155403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2026; 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.