AZEL JACKSON (NPI# 1508415043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101Y00000X | Counselor | LAC-15481 | AZ | Behavioral Health & Social Service Providers |
Street Address |
1400 E SOUTHERN AVE STE 735 |
City | TEMPE |
State | AZ |
Zip Code | 85282-5699 |
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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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 |
Find all providers in zip 85282 |
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 |
---|---|---|---|---|
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 |
Find all providers in TEMPE |
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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.