JOSE LUIS MADERA JR. (NPI# 1225466618) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225466618 |
| Entity Type | Individual |
| Full Name | JOSE LUIS MADERA JR. |
| Credential | LPC |
| Practice Address |
4011 N 51st Ave Phoenix AZ 85031-2601 |
| Mailing Address |
1628 W Glenrosa Ave Phoenix AZ 85015-4734 |
| Practice Telephone | 6233446900 |
| Mailing Telephone | 4804634793 |
| Enumeration Date | 2013-10-22 |
| Last Update Date | 2018-08-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | LPC-15266 | AZ | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1628 W Glenrosa Ave, Phoenix, AZ 850154734 | 4804634793 | |
| 736 E Flynn Ln, Phoenix, AZ 850141031 | 4804634793 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396878732 | Jose Garcia Madera | Technician, Other | 215 Drum Rd Rm D113, Staten Island, NY 10305-5001 | 2007-03-14 |
| 1467507590 | Jose Antonio Madera | Social Worker | 2155 Main Street, Springfield, MA 01104 | 2007-01-25 |
| 1124178934 | Jose E. Madera | Dentist | 2660 Main Street, Suite 217, Bridgeport, CT 06606 | 2007-01-12 |
| Street Address |
4011 N 51ST AVE |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85031-2601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578503579 | Hope B. Kurk | Pediatrics | 4011 N 51st Ave, Phoenix, AZ 85031-2601 | 2006-06-07 |
| 1548764657 | Maricopa County Special Heallth Care District | Clinic/Center | 4011 N 51st Ave, Phoenix, AZ 85031-2601 | 2018-03-22 |
| 1982082368 | Aleksandra Obradov | Pediatrics | 4011 N 51st Ave, Phoenix, AZ 85031 | 2015-05-18 |
| 1295154045 | Maricopa County Special Health Care District | General Acute Care Hospital | 4011 N 51st Ave, Phoenix, AZ 85031 | 2014-04-09 |
| 1245585280 | Vaishali Khetarpal | Pediatrics | 4011 N 51st Ave, Phoenix, AZ 85031-2601 | 2012-07-16 |
| 1043229388 | Mona Khurana | Pediatrics | 4011 N 51st Ave, Phoenix, AZ 85031-2601 | 2006-08-05 |
| 1932134376 | Arlene R. Karlin | Advanced Practice Midwife | 4011 N 51st Ave, Phoenix, AZ 85031-2601 | 2006-07-12 |
| 1043250194 | Kim T. Long | Pediatrics | 4011 N 51st Ave, Phoenix, AZ 85031-2601 | 2006-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508256629 | Jessica Watson | Physical Therapy Assistant | 4110 N 108th Ave, Suite 103, Phoenix, AZ 85031 | 2015-01-27 |
| 1043518707 | Lisette V Hill | Nurse Practitioner | 3802 N 53rd Avenue, Suite 160, Phoenix, AZ 85031 | 2011-03-04 |
| 1760785778 | Unlimited Smiles | Dentist | 4805 West Thomas, Suite #a, Phoenix, AZ 85031 | 2010-12-13 |
| 1043526817 | Atul J Amin | Pharmacist | 5102 W Indian School Rd (walgreens), Phoenix, AZ 85031 | 2010-08-31 |
| 1396064663 | Akdhc, LLC | Internal Medicine | 4524 N Maryvale Parkway, Akdhc, LLC - Maryvale, Ste 160, Phoenix, AZ 85031 | 2010-05-25 |
| 1629397583 | Scott Anthony Effinger | Pharmacist | 4616 N. 51st Avenue, Suite 203, Phoenix, AZ 85031 | 2010-05-18 |
| 1912237397 | Albert Potter | Counselor | 5043 W. Campbell Ave., Phoenix, AZ 85031 | 2010-01-06 |
| 1649434887 | Mahmoud Azmi Mahafzah | Internal Medicine | 5251 W Campbell Ave Ste 204, Phoenix, AZ 85031 | 2008-07-16 |
| 1427253335 | Evelyn Tan Omana-roldan | Family Medicine | 4700 N. 51st Avenue, Suite 1, Phoenix, AZ 85031 | 2007-06-19 |
| 1255416103 | Chicanos Por La Causa Inc | Clinic/Center | 4602 W. Indian School Rd., Cplc Centro De La Familia, Phoenix, AZ 85031 | 2006-10-26 |
| Find all providers in zip 85031 | ||||
| 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 |
|---|---|---|---|---|
| 1891395604 | Helping Handz Counseling Services Outpatient Treatment Center Corp | Counselor | 3930 N 30th Ave, Phoenix, AZ 85017-4607 | 2020-10-30 |
| 1134745367 | Julianne Jordan Holroyd | Counselor | 16012 N 7th Dr, Phoenix, AZ 85023-4436 | 2020-06-23 |
| 1275158719 | Empire Group Homes LLC | Counselor | 1629 W Lacewood Pl, Phoenix, AZ 85045-0814 | 2020-06-10 |
| 1891317392 | Chelsea Savastio | Counselor | 5040 E. Shea Blvd, Ste. 164, Phoenix, AZ 85028-8502 | 2020-05-07 |
| 1740800366 | Premier Innovative Care Services | Counselor | 525 E Camelback Rd, Phoenix, AZ 85012-1615 | 2020-04-23 |
| 1043840028 | Elizabeth Pacheco | Counselor | 3050 W Agua Fria Fwy, Phoenix, AZ 85027-3946 | 2020-01-18 |
| 1518504406 | Jennifer A Day | Counselor | 125 South Avenue, Phoenix, AZ 85003 | 2019-12-10 |
| 1871136945 | Our Home of Unity LLC | Counselor | 8105 W Magnolia St, Phoenix, AZ 85043-5420 | 2019-10-22 |
| 1437791183 | Catherine Amanda Bowser | Counselor | 2701 N 16th St Ste 218, Phoenix, AZ 85006-1265 | 2019-10-15 |
| 1730732777 | Christopher Adam Kraemer | Counselor | 21620 N 19th Ave Ste B6, Phoenix, AZ 85027-2716 | 2019-07-18 |
| Find all providers in PHOENIX | ||||
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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.