AZEL JACKSON


Address: 1400 E Southern Ave Ste 735, Tempe, AZ 85282-5699
Phone: 4808040326

AZEL JACKSON (NPI# 1508415043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1508415043
Entity Type Individual
Full Name AZEL JACKSON
Practice Address 1400 E Southern Ave Ste 735
Tempe
AZ 85282-5699
Practice Telephone 4808040326
Enumeration Date 2019-09-07
Last Update Date 2019-09-07
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101Y00000X Counselor LAC-15481 AZ Behavioral Health & Social Service Providers

Office Location

Street Address 1400 E SOUTHERN AVE STE 735
City TEMPE
State AZ
Zip Code 85282-5699

Providers in the same location

NPI Name Taxonomy Address Enumeration
1760784623 Melissa Marie Bowen Social Worker 1400 E Southern Ave Ste 735, Tempe, AZ 85282-5699 2010-11-29
1982238838 Jennifer Rosenfeld-hester Counselor 1400 E Southern Ave Ste 735, Tempe, AZ 85282-5699 2020-03-01
1831740257 Jennie May Whitmer Counselor 1400 E Southern Ave Ste 735, Tempe, AZ 85282-5699 2019-09-26
1174174858 Laura Hiebert Social Worker 1400 E Southern Ave Ste 735, Tempe, AZ 85282-5699 2019-09-24
1811547441 Candy Zammit Counselor 1400 E Southern Ave Ste 735, Tempe, AZ 85282-5699 2019-09-16
1992354492 Jessica Plummer Social Worker 1400 E Southern Ave Ste 735, Tempe, AZ 85282-5699 2019-09-06
1215584115 Matthew Rosenkilde Counselor 1400 E Southern Ave Ste 735, Tempe, AZ 85282-5699 2019-08-25
1417517301 Kathryn Abram Behavior Technician 1400 E Southern Ave Ste 735, Tempe, AZ 85282-5699 2019-06-13
1760041339 Monica J Woolsey Counselor 1400 E Southern Ave Ste 735, Tempe, AZ 85282-5699 2019-06-07
1629519160 Leeann Lai Wah Kuang Counselor 1400 E Southern Ave Ste 735, Tempe, AZ 85282-5699 2017-03-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1346893575 Cactus Canyon Dental Dentist 2043 E Southern Ave, Ste. C, Tempe, AZ 85282 2019-07-17
1023679644 Donna Cooks Registered Nurse 233 E. Sourthern Ave #27702, Tempe, AZ 85282 2019-06-25
1841854932 Lynn Stafford Registered Nurse 4041 S. Mcclintock, Ste 302, Tempe, AZ 85282 2019-04-24
1598227340 Jane Ramenofsky Ramenofsky Stewart Registered Nurse 4041 So. Mcclintock Suite 302, Tempe, AZ 85282 2019-04-02
1588129902 Mary K Wheeler Mcfarland Registered Nurse Adobe Care and Wellness LLC, Address Is 4041 S. Mcclintock, Ste 302, Tempe, AZ 85282 2019-02-11
1669949780 Crestview Pharmacy Services LLC Pharmacy 3225 South Hardy Dr., Ste 100, Tempe, AZ 85282 2018-10-26
1275018715 Berlin Wright Naturopath 2164 E. Broadway Rd., Tempe, AZ 85282 2018-10-01
1043701543 Lakeshore Interventional Treatment Center LLC Surgery 4765 S Lakeshore Dr, Tempe, AZ 85282 2018-05-21
1427553940 The Bridge Counseling, Consulting and Mediation LLC Counselor 4625 S. Lakeshore Dr., 302, Tempe, AZ 85282 2018-03-27
1346741501 Coraesthetics Pllc Physician Assistant 2008 E Laguna Dr, Tempe, AZ 85282 2018-02-23
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Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1699375030 Crystal Marie Thomson Counselor 1405 E Guadalupe Rd Ste 3, Tempe, AZ 85283-3971 2020-10-26
1235781865 Vince Toivo Mikkola Counselor 4700 S Mill Ave # B3, Tempe, AZ 85282-6736 2019-07-13
1205344611 Meija Lynn Schreiner Counselor 4625 S Lakeshore Dr Ste 301, Tempe, AZ 85282-7127 2018-01-19
1417468273 Marcus Dickson Counselor 1800 W Broadway Rd Ste 3, Tempe, AZ 85282-1023 2017-10-19
1063959526 Courtney Glenny Counselor 3231 S Country Club Way Ste 111, Tempe, AZ 85282-4053 2017-01-23
1396128229 12 Steps for Christian Living Counselor 2111 E Baseline Rd Ste C8, Tempe, AZ 85283-1521 2015-07-09
1295086361 Jennifer Martin Counselor 2120 S Mcclintock Dr Ste 105t, Tempe, AZ 85282-2692 2012-09-28
1265744353 Carrie S Christiansen Counselor 1400 E. Southern Ave, Ste. 735, Tempe, AZ 85282-2692 2010-07-06
1922334978 Ripp Rehab, Inc. Counselor 4645 S Lakeshore Dr, Suite 5, Tempe, AZ 85282-7151 2009-10-27
1972709566 Catalina Behavioral Health Services Counselor 1500 N. Priest Drive, #104, Tempe, AZ 85281 2007-06-21
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Competitor

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City TEMPE
Zip Code 85282

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Dataset Information

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.

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