Mary Jean Eggleston, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC-17067 Issued in AZ

Practice address

37130 N 11TH Ave
Phoenix, AZ 85086-9524

Phone

(623) 703-8414

NPI assigned

Jul 23, 2024

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

State licenses

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

{
    "created_epoch": "1721692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1992533707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37130 N 11TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850869524",
            "telephone_number": "623-703-8414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37130 N 11TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850869524",
            "telephone_number": "623-703-8414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGGLESTON",
        "first_name": "MARY",
        "middle_name": "JEAN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-23",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-17067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Obinna P Egbo, M.D.
• Christopher Nonso Egbunike Jr., CNIM
• John Charles Egelhoff, D.O.
• Brian K Eggen, FNP-C, AGACNP-BC
• Constance G Eggert, OTR
• Hamid Eghbal
• Osariemen Raymond Eguavoen, BCBA: 1-21-53406
• Lisa A Ehlenberger-Witt, MA, CAGS
• Lydia Ehlenberger, MD
• Dana Lynn Ehlers, PMHNP

• Professional Counselor in Phoenix, AZ
• Providers in Phoenix, 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 23, 2024; 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.