JKL PROFESSIONAL COUNSELING SERVICES (NPI# 1689014557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689014557 |
| Entity Type | Organization |
| Organization Name | JKL PROFESSIONAL COUNSELING SERVICES |
| Practice Address |
15396 N 83rd Ave Ste E Peoria AZ 85381-5627 |
| Practice Telephone | 6232343638 |
| Practice Fax Number | 6232344606 |
| Mailing Telephone | 6232343638 |
| Mailing Fax Number | 6232344606 |
| Enumeration Date | 2013-06-25 |
| Last Update Date | 2013-06-25 |
| Authorized Official Name | JANEEN WELLS (OWNER/LPC) |
| Authorized Official Telephone | 6232343638 |
| Authorized Official Credential | MA, LPC, TAD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
13389 | AZ | Behavioral Health & Social Service Providers |
| Street Address |
15396 N 83RD AVE STE E |
| City | PEORIA |
| State | AZ |
| Zip Code | 85381-5627 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558366856 | Asad Ehtisham | Psychiatry & Neurology | 15396 N 83rd Ave Ste E, Peoria, AZ 85381-5627 | 2005-06-15 |
| 1467067892 | Alyssa Angulo Lopez | Nurse Practitioner | 15396 N 83rd Ave Ste E, Peoria, AZ 85381-5627 | 2020-09-11 |
| 1396145264 | Envi Pllc | Psychiatry & Neurology | 15396 N 83rd Ave Ste E, Peoria, AZ 85381-5627 | 2014-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932712122 | Vicki L Grenier | Registered Nurse | 7558 W. Thunderbird Rd. Ste 1-507, Peoria, AZ 85381 | 2020-08-26 |
| 1568934107 | Earthwalk Wellness Group, LLC | Social Worker | 14050 North 83rd Avenue, Suite 290, Peoria, AZ 85381 | 2018-12-20 |
| 1316412059 | John & Biljana Feeley Dba J & B Assisted Living IIi Inc | Community Based Residential Treatment Facility, Mental Illness | 7331 W Sweetwater Avenue, Peoria, AZ 85381 | 2018-10-09 |
| 1467958611 | Arizona Community Pharmacy | Pharmacy | 14100 N 83rd Ave Ste 160, Peoria, AZ 85381 | 2018-04-04 |
| 1083112106 | Marissa Lynn Desjardins | Physical Therapist | 8240 W. Cactus Rd. Oakeson Physical Therapy, Peoria, AZ 85381 | 2018-01-23 |
| 1235651399 | Power Back Batteries LLC | Durable Medical Equipment & Medical Supplies | 9054 West Lisbon Ave, Peoria, AZ 85381 | 2017-07-11 |
| 1457897027 | Sonoran Sky Community Services | Community Based Residential Treatment Facility, Mental Illness | 7524 W. Alexandria Way, Peoria, AZ 85381 | 2017-01-06 |
| 1386023448 | Scott Boone | Registered Nurse | 7715 W Watson Ln, Peoria, AZ 85381 | 2015-05-22 |
| 1881084838 | Pinnacle Women's Center LLC | Obstetrics & Gynecology | 15396 N 83rd Ave Ste F100, Peoria, AZ 85381 | 2015-01-29 |
| 1245637081 | Kathi Locke | Counselor | 13460 N. 94th Drive, Suite J2, Peoria, AZ 85381 | 2014-11-21 |
| Find all providers in zip 85381 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487254629 | Bernadette Bruha | Counselor | 10028 W Redbird Rd, Peoria, AZ 85383-3368 | 2020-10-27 |
| 1063020071 | Pschertz Counseling | Counselor | 5016 N University St Ste 101, Peoria, IL 61614-4763 | 2020-07-15 |
| 1427674902 | Centerpoint Counseling Associates LLC | Counselor | 7820 N University St Ste 102b, Peoria, IL 61614-1220 | 2020-06-22 |
| 1962032938 | Sheri Orr | Counselor | 8401 W Desert Elm Ln, Peoria, AZ 85383-3645 | 2020-01-18 |
| 1952958050 | Emily Louise Trulson | Counselor | 3526 N California Ave, Peoria, IL 61603-1168 | 2019-08-22 |
| 1518441997 | Jill Johnson | Counselor | 29267 N 123rd Dr, Peoria, AZ 85383-4074 | 2018-09-20 |
| 1407359367 | Lori Bushell Counseling LLC | Counselor | 2000 W Pioneer Pkwy Ste 20, Peoria, IL 61615-5805 | 2018-03-16 |
| 1114427952 | Jessica Anne Hunter | Counselor | 10184 W Happy Valley Rd Ste 190, Peoria, AZ 85383-1254 | 2018-02-19 |
| 1881101806 | Michelle Elizabeth Juslin | Counselor | 8530 W Caribbean Ln, Peoria, AZ 85381-3531 | 2017-12-29 |
| 1235672973 | Amy N Kelch | Counselor | 4228 N University St, Peoria, IL 61614-6913 | 2016-11-29 |
| Find all providers in PEORIA | ||||
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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.