MR. JON GARY NELSON (NPI# 1124538236) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124538236 |
| Entity Type | Individual |
| Full Name | MR. JON GARY NELSON |
| Credential | LPC |
| Practice Address |
4992 Cactus Pl Prescott AZ 86301-5845 |
| Practice Telephone | 6026286190 |
| Mailing Telephone | 6026286190 |
| Enumeration Date | 2017-10-03 |
| Last Update Date | 2017-10-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | LPC-16805 | AZ | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225351174 | Jon Richard Nelson | Pharmacist | 6021 Kiva St Nw, Albuquerque, NM 87120-4473 | 2010-03-07 |
| 1619173911 | Jon Bradley Nelson | Pharmacist | 2100 16th Ave S Ste 112, Birmingham, AL 35205-5021 | 2007-06-23 |
| 1003982406 | Jon Gregorie Nelson | Dentist | 418 23rd Ave E, Superior, WI 54880-3707 | 2006-11-28 |
| 1952714719 | Jon Alexander Nelson | Surgery | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2014-06-09 |
| 1295891851 | Jon Eric Nelson | Psychologist | 1305 Tommydon St, Kaiser Psychiatry, Stockton, CA 95210-3364 | 2006-12-28 |
| 1497794762 | Jon E Nelson | Physician Assistant | 3200 Bailey Ln Ste 200, Naples, FL 34105-8523 | 2006-06-05 |
| Street Address |
4992 CACTUS PL |
| City | PRESCOTT |
| State | AZ |
| Zip Code | 86301-5845 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871102350 | Dove Marie Gundermann | Specialist/Technologist | 300 W. Gurley St, Prescott, AZ 86301 | 2020-07-30 |
| 1639712110 | Arizona Orthopedic Physical Therapy, Pllc | Clinic/Center | 1781 E State Highway 69, Suite 28, Prescott, AZ 86301 | 2019-10-28 |
| 1538714092 | Prescott Complete Care | Family Medicine | 1947 Commerce Center Circle, Suite A, Prescott, AZ 86301 | 2019-08-01 |
| 1336612571 | Sarah Elizabeth Elliott | Registered Nurse | 500 Az 89, Prescott, AZ 86301 | 2019-01-10 |
| 1912484270 | Asya Ruth Perkins | Counselor | 225 Grove Avenue, Prescott, AZ 86301 | 2018-07-19 |
| 1396241394 | Jerome Alexander Longoria | Chiropractor | 142 N. Rush St, Prescott, AZ 86301 | 2018-03-30 |
| 1619487675 | Yavapai Healthcare Group LLC | Nurse Practitioner | 999 Division Street, Prescott, AZ 86301 | 2017-10-04 |
| 1053835843 | United States Veterans Initiative | Counselor | 917 E Gurley St, Prescott, AZ 86301 | 2017-08-02 |
| 1164896999 | Spitler - Lilley, LLC | Hearing Instrument Specialist | 1781 E. State Rte 69, Suite 65, Prescott, AZ 86301 | 2015-11-17 |
| 1275925265 | Oral and Facial Surgery Center of Prescott | Dentist | 5415 Distiction Way, Prescott, AZ 86301 | 2015-02-27 |
| Find all providers in zip 86301 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124639414 | Karissa Bruce | Counselor | 141 S Mccormick St Ste 103, Prescott, AZ 86303-4730 | 2020-08-11 |
| 1205468253 | Honeybee Healing & Counseling Services, LLC | Counselor | 1490 W Gurley St Ste C, Prescott, AZ 86305-2851 | 2020-02-07 |
| 1144784364 | Kathryn Ann Stoecker | Counselor | 141 S Mccormick St Ste 214, Prescott, AZ 86303-4731 | 2019-01-23 |
| 1437659075 | Laura Solorzano | Counselor | 1612 Eagle Point Dr, Prescott, AZ 86301-5487 | 2018-02-20 |
| 1053835843 | United States Veterans Initiative | Counselor | 917 E Gurley St, Prescott, AZ 86301 | 2017-08-02 |
| 1912420738 | Sandra Lehmann | Counselor | 3700 Willow Creek Rd Bldg 46, Prescott, AZ 86301-3721 | 2017-07-24 |
| 1194277202 | Tracy Schrunk | Counselor | 1277 N Rhinestone Dr, Prescott, AZ 86301-6802 | 2016-10-25 |
| 1871944322 | Jessie Deverna | Counselor | 450 W Goodwin St Suite 103b, Prescott, AZ 86303 | 2016-06-27 |
| 1760838502 | Sarah Munigle | Counselor | 141 S Mccormick St Ste 206a, Prescott, AZ 86303-4749 | 2016-05-11 |
| 1104225861 | Debra Nelson | Counselor | 121 Darby Creek Way, Prescott, AZ 86301-4413 | 2014-08-19 |
| Find all providers in PRESCOTT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.