JENNIFER R STARKS (NPI# 1417583972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417583972 |
| Entity Type | Individual |
| Full Name | JENNIFER R STARKS |
| Credential | LAC |
| Practice Address |
824 N 99th Ave Ste 109 Avondale AZ 85323-5327 |
| Practice Telephone | 6239076520 |
| Enumeration Date | 2020-03-17 |
| Last Update Date | 2020-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LAC-18777 | AZ | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801272448 | Jennifer Lee Starks | Counselor | 4600 S Tracy Blvd Ste 106, Tracy, CA 95377-8105 | 2015-08-05 |
| 1215319538 | Jennifer Ruth Starks | Marriage & Family Therapist | 1801 American Blvd E Ste 1, Bloomington, MN 55425-1230 | 2015-06-23 |
| 1487973483 | Jennifer Lynn Starks | Counselor | 5461a Gravois Ave, Saint Louis, MO 63116-2340 | 2010-06-01 |
| Street Address |
824 N 99TH AVE STE 109 |
| City | AVONDALE |
| State | AZ |
| Zip Code | 85323-5327 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932663994 | Bridgewater Avondale Operations, LLC | Assisted Living Facility | 295 E Van Buren Street, Avondale, AZ 85323 | 2019-01-24 |
| 1104309152 | Carlos Sifuentes | Physical Therapist | 10750 W Mcdowell Rd., Ste. B-210, Avondale, AZ 85323 | 2018-09-14 |
| 1225534688 | Dayna Sue Kaepp | Registered Nurse | 3300 N. Santa Fe Trail, Avondale, AZ 85323 | 2018-04-04 |
| 1407376700 | Amanda Lynn Radcliffe | Nurse Practitioner | 824 N. 99th Ave Ste 108, Avondale, AZ 85323 | 2017-06-27 |
| 1093253361 | Aquatic-n-writing Rehad | Home Health | 12355 West Cocopah Street, Avondale, AZ 85323 | 2017-02-07 |
| 1750838348 | Annette A Alvarez | Specialist/Technologist | 295 W Western Avenue, Avondale, AZ 85323 | 2016-09-01 |
| 1649726886 | Michelle R Dotson | Contractor | 12115 W Van Buren St Apt 1924, Avondale, AZ 85323 | 2016-08-28 |
| 1619370756 | Amanda Mann | Physical Therapy Assistant | 12804 West Hildalgo, Avondale, AZ 85323 | 2014-10-03 |
| 1326459306 | Ma Caubalejo | Physical Therapist | 350 East La Canada Blvd, Avondale, AZ 85323 | 2014-05-13 |
| 1093139545 | Mark Salvador | Physical Therapy Assistant | 11722 W. Mountain View Dr., Avondale, AZ 85323 | 2014-02-04 |
| Find all providers in zip 85323 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861023095 | Michelle L Cermak | Counselor | 11115 W Dana Ln, Avondale, AZ 85392-3639 | 2020-01-27 |
| 1578176111 | India Kerrigan Schiltz | Counselor | 10320 W Mcdowell Rd Ste 7022, Avondale, AZ 85392-4871 | 2020-08-24 |
| 1639780349 | Kimberly Morales | Counselor | 10320 W Mcdowell Rd Ste 7022, Avondale, AZ 85392-4871 | 2020-08-14 |
| 1831719491 | Amber Lynn Adams | Counselor | 10320 W Mcdowell Rd Ste 7022, Avondale, AZ 85392-4871 | 2020-04-23 |
| 1598308835 | Christina Kelley | Counselor | 235 W Western Ave, Avondale, AZ 85323-1848 | 2019-10-18 |
| 1689153769 | Michael B. Bayless & Associates, Inc | Counselor | 235 W Western Ave, Avondale, AZ 85323-1848 | 2018-08-09 |
| 1952888158 | Lisa A. Shapiro | Counselor | 12409 W Indian School Rd Bldg E, Avondale, AZ 85392-9502 | 2018-07-20 |
| 1396284816 | Hannah Carr | Counselor | 235 W Western Ave, Avondale, AZ 85323-1848 | 2017-02-16 |
| 1821365644 | Donna Marie Jordan | Counselor | 824 N 99th Ave, Avondale, AZ 85323-5324 | 2011-11-22 |
| 1255576757 | Noe Vargas | Counselor | 3400 N Dysart Rd, Suite 117, Avondale, AZ 85392-1003 | 2008-12-11 |
| Find all providers in AVONDALE | ||||
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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.