Individual provider Active NPI

Jessica Lowrance, MA, LPC

  • Mental Health Counselor
  • Mesa, AZ
National Provider Identifier
1962808105
Registry record updated Feb 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC-20658 Issued in AZ
Practice address
1234 S Power Rd Ste 252
Mesa, AZ 85206-3700
Phone
(602) 675-6185
Fax
(602) 675-6185
NPI assigned
Nov 17, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC-20658 AZ Primary
Professional Counselor 101YP2500X LPC-20658 AZ

Addresses

Primary practice location

1234 S Power Rd Ste 252
Mesa, AZ 85206-3700

Mailing address

1234 S Power Rd Ste 252
Mesa, AZ 85206-3700
Phone (602) 675-6185

Other identifiers 2

IdentifierTypeStateIssuer
0701013350OtherVAVIRGINIA DEPARTMENT OF HEALTH PROFESSIONALS BOARD OF COUNSELING
LPC-20658OtherAZARIZONA BOARD OF BEHAVIORAL HEALTH EXAMINERS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LPC-20658AZMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Oakwood Creative Care Inc. PastSince Mar 12, 2024 Accepting new patients
Lifewell Behavioral Wellness PastSince Jul 1, 2021 Accepting new patients

Organizations & group practices 2

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": "1416182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709164800000",
    "number": "1962808105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1234 S POWER RD STE 252",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852063700",
            "telephone_number": "602-675-6185",
            "fax_number": "602-599-5704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1234 S POWER RD STE 252",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852063700",
            "telephone_number": "602-675-6185",
            "fax_number": "602-675-6185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOWRANCE",
        "first_name": "JESSICA",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-17",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LPC-20658",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-20658",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIRGINIA DEPARTMENT OF HEALTH PROFESSIONALS BOARD OF COUNSELING",
            "identifier": "0701013350",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA BOARD OF BEHAVIORAL HEALTH EXAMINERS",
            "identifier": "LPC-20658",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.