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Ilona Alisudjana, LAC
NPI 1811691959 · Counselor · Phoenix, AZ
Ilona Alisudjana, LAC is a Counselor provider in Phoenix, AZ (NPI 1811691959).
Provider details
- NPI number
- 1811691959
- Entity type
- Individual
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Credential
- LAC
- Sex
- Female
- Sole proprietor
- No
- License
- LAC-21903 (AZ)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
610 E Baseline Rd Ste 5
Phoenix, AZ 85042-6536
Phone: (602) 230-7373
Fax: (602) 441-5836
Street-level locationGet directions
Mailing address
3101 N Central Ave Ste 500
Phoenix, AZ 85012-2639
Registry dates
- Enumerated
- 2023-03-30
- Last updated
- 2024-01-03
- Certified
- 2024-01-03
Frequently asked questions
- What is Ilona Alisudjana's NPI number?
- Ilona Alisudjana's National Provider Identifier (NPI) is 1811691959, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ilona Alisudjana's specialty?
- Ilona Alisudjana is listed in the NPPES registry with a primary specialty of Counselor (Behavioral Health & Social Service Providers).
- Where is Ilona Alisudjana located?
- Ilona Alisudjana's practice location on file with NPPES is 610 E Baseline Rd Ste 5, Phoenix, AZ 85042-6536.
- What is Ilona Alisudjana's phone number?
- The practice phone number listed in the NPPES registry for Ilona Alisudjana is (602) 230-7373.
- Is Ilona Alisudjana's NPI active?
- Yes — Ilona Alisudjana's NPI (1811691959) is active in the NPPES registry as of the last update on 2024-01-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.