MRS. JILL ANN DORENBUSH MA, LPC
NPI 1770973596
Counselor - Professional in Queen Creek, AZ

Q: What is Jill Dorenbush's NPI number?

The NPI number for Jill Dorenbush is 1770973596. It was assigned to this individual provider in the NPPES registry on February 1, 2015.

Q: What is Jill Dorenbush's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: Is Jill Dorenbush enrolled in Medicare?

No. Jill Dorenbush has opted out of Medicare through May 3, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Jill Dorenbush was last updated on June 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 01, 2015Opted out of Medicare · through May 3, 2028

21321 E OCOTILLO RD STE 113, QUEEN CREEK, AZ 85142(480) 448-9985(480) 448-9985 Get Directions Write a Review

NPPES record last updated: June 3, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 3, 2026, Aug 28, 2018 (2 updates tracked since 2018).

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About Mrs. Jill Ann Dorenbush Ma, Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. JILL ANN DORENBUSH MA, LPC (NPI 1770973596) is an individual professional provider in Queen Creek, Arizona, licensed in Arizona (LPC13386) and active in the NPI registry since February 2015. She has opted out of Medicare through May 3, 2028.

NPPES Registry Identity

NPI1770973596

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameMRS. JILL ANN DORENBUSHCredential: MA, LPC

Location Address21321 E OCOTILLO RD STE 113Queen Creek, AZ 85142

Mailing Address21321 E Ocotillo Rd Ste 113Queen Creek, AZ 85142-5994 · (480) 448-9985 · Fax (480) 448-9985

Phone(480) 448-9985

Fax(480) 448-9985

Sole ProprietorYes

Enumeration DateFebruary 1, 2015

Last NPPES UpdateJune 3, 20262 updates tracked since enumeration

NPPES CertifiedJune 3, 2026

✔ NPI 1770973596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in AZ · LPC13386

21321 E OCOTILLO RD STE 113, Queen Creek, AZ 85142

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Plan, Inc., UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Mrs. Jill Ann Dorenbush Ma, Lpc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 3, 2024 through May 3, 2028.

Opt-Out Effective DateMay 3, 2024

Opt-Out In Effect ThroughMay 3, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TROUTMAN COUNSELING SERVICES, PLLC

Community/Behavioral Health