Individual provider Active NPI

Sonia Cano, MA, LAC

  • Counselor
  • Glendale, AZ
National Provider Identifier
1942471081
Registry record updated Mar 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LAC-12660 Issued in AZ
Practice address
4444 W Northern Ave
Glendale, AZ 85301-1683
Phone
(623) 939-6516
Fax
(623) 939-0370
NPI assigned
Mar 17, 2008
Last updated
Mar 17, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LAC-12660 AZ Primary
Mental Health Counselor 101YM0800X LAC-12660 AZ

Addresses

Primary practice location

4444 W Northern Ave
Glendale, AZ 85301-1683

Mailing address

8568 W Sierra St
Peoria, AZ 85345-4145
Phone (623) 412-9182

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240502001726 AZ Practitioner - Mental Health Counselor 5799125191 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Journey to Peace Counseling Services, LLCGroup PAC ID 9032522099, 4 clinicians

Practice addresses (Care Compare)

250 N Litchfield Rd
Suite 130
Goodyear, AZ 85338-1380
Phone (480) 787-1955

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LAC-12660AZMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Journey to Peace Counseling Services, LLC Professional CurrentSince Mar 23, 2024 Accepting new patients

Locations

250 N Litchfield Rd
Ste 130
Goodyear, AZ 85338
Phone (480) 787-1955

1921 S Alma School Rd
Ste 212
Mesa, AZ 85210
Phone (480) 755-7777

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1205712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205712000000",
    "number": "1942471081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8568 W SIERRA ST",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853454145",
            "telephone_number": "623-412-9182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4444 W NORTHERN AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853011683",
            "telephone_number": "623-939-6516",
            "fax_number": "623-939-0370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANO",
        "first_name": "SONIA",
        "name_prefix": "Mrs.",
        "credential": "MA, LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-17",
        "last_updated": "2008-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AZ",
            "license": "LAC-12660",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LAC-12660",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.