DR. ALLEN JETER (NPI# 1710381314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710381314 |
| Entity Type | Individual |
| Full Name | DR. ALLEN JETER |
| Credential | DD,MAC,CDDC |
| Practice Address |
2942 N 24th St 114-766 Phoenix AZ 85016-7844 |
| Practice Telephone | 4805214815 |
| Practice Fax Number | 6024245757 |
| Mailing Telephone | 4805214815 |
| Mailing Fax Number | 6232427910 |
| Enumeration Date | 2014-10-10 |
| Last Update Date | 2015-08-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
86520 | PA | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
PA | Behavioral Health & Social Service Providers | |
| N | 101YP1600X |
Counselor Specialization: Pastoral |
PA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942736970 | Allen Jeter | Specialist/Technologist | 125 W Cooper St, Sterling, KS 67579-1533 | 2017-05-11 |
| Street Address |
2942 N 24TH ST 114-766 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85016-7844 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366412553 | David Minoru Fujii | Anesthesiology | 2942 N 24th St, Suite 114, Phoenix, AZ 85016-7844 | 2006-01-23 |
| 1912433475 | Green Consulting and Staffinc, LLC | Behavior Technician | 2942 N 24th St, Suite 114, Phoenix, AZ 85016-7844 | 2017-05-03 |
| 1972956670 | A-making Changes | Counselor | 2942 N 24th St, Suite 114-766, Phoenix, AZ 85016-7844 | 2016-07-18 |
| 1588043533 | Solace Hospice, LLC. | Hospice Care, Community Based | 2942 N 24th St, Ste. 101, Phoenix, AZ 85016-7844 | 2015-05-22 |
| 1417345364 | Morgan M. Hall | Clinical Neuropsychologist | 2942 N 24th St, Suite 114-510, Phoenix, AZ 85016-7844 | 2014-12-30 |
| 1740617588 | Arizona Housecalls LLC | Nurse Practitioner | 2942 N 24th St, Suite 104, Phoenix, AZ 85016-7844 | 2013-10-10 |
| 1699065706 | Douglas Bradley Doehrman | Emergency Medicine | 2942 N 24th St, Suite #114-449, Phoenix, AZ 85016-7844 | 2011-04-10 |
| 1942539671 | Home Dental Services, LLC | Dentist | 2942 N 24th St, #114, Phoenix, AZ 85016-7844 | 2009-12-08 |
| 1366670002 | Cristy Lopez | Psychologist | 2942 N 24th St, Suite 110, Phoenix, AZ 85016-7844 | 2009-07-01 |
| 1295920692 | Susan M. Daubenbis | Social Worker | 2942 N 24th St, Suite 114, Phoenix, AZ 85016-7844 | 2007-09-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851992705 | Heatheranne Baker-oldfield | Counselor | 2415 E Camelback Rd Ste 700, Phoenix, AZ 85016 | 2020-11-06 |
| 1780215681 | Sip Home Systems - Mesa LLC | Home Health | 24th At Camelback, 2375 E. Camelback Rd., Suite 600, Phoenix, AZ 85016 | 2020-01-29 |
| 1760945588 | Wei Wei | Student in an Organized Health Care Education/Training Program | Phoenix Children's Hospital 1919 E. Thomas Rd., Phoenix, AZ 85016 | 2019-04-09 |
| 1942765623 | Grace Hatfield | Dietitian, Registered | Phoenix Childrens Hospital 1919 E Thomas Rd, Phoenix, AZ 85016 | 2019-02-06 |
| 1861977027 | Dawn Yvette Lima | Occupational Therapy Assistant | 3128 E Cheery Ln, Phoenix, AZ 85016 | 2018-10-03 |
| 1720583685 | Kristin Pauline Hicklin | Registered Nurse | 2930 E Camelback Rd Ste 100, Phoenix, AZ 85016 | 2018-03-24 |
| 1588181622 | Taness Eyre Billington | Pharmacist | 1625 E. Camelback Rd., Phoenix, AZ 85016 | 2017-08-29 |
| 1093239048 | Emma Ross | Psychologist | 1919 E Thomas Rd Bldg 4th, Phoenix, AZ 85016 | 2017-08-01 |
| 1609396985 | Mohammed Waseemuddin | Student in an Organized Health Care Education/Training Program | Phoenix Children's Hospital, 1919 E Thomas Rd, Phoenix, AZ 85016 | 2017-06-27 |
| 1144777632 | Amanda Mazerall | Occupational Therapist | 4333 N 24th Street, Apartment 223, Phoenix, AZ 85016 | 2016-09-01 |
| Find all providers in zip 85016 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649885716 | Global Family LLC | Counselor | 4523 N 92nd Ave, Phoenix, AZ 85037-2450 | 2020-09-15 |
| 1982218772 | Bashar Aldeen | Counselor | 3401 W Country Gables Dr, Phoenix, AZ 85053-4756 | 2020-08-31 |
| 1508478082 | Tahonna Latreise Surrell | Counselor | 3236 E Chandler Blvd Unit 1034, Phoenix, AZ 85048-7281 | 2020-08-17 |
| 1346858883 | Heather Romero | Counselor | 110 W Camelback Rd Ste 200, Phoenix, AZ 85013-2564 | 2020-07-21 |
| 1134747546 | Arcadian Homes, LLC | Counselor | 5924 W Trumbull Rd, Phoenix, AZ 85043-1967 | 2020-07-13 |
| 1902423023 | Danielle Jeanette Le Blanc | Counselor | 3228 W Silver Sage Ln, Phoenix, AZ 85083-5866 | 2020-07-06 |
| 1366060477 | Rising Phoenix Neighborhood | Counselor | 202 E Earll Dr Unit 360-35, Phoenix, AZ 85012-2634 | 2020-07-06 |
| 1043832504 | Candice Marie Isaacson | Counselor | 2911 W Sunnyside Dr, Phoenix, AZ 85029-3302 | 2020-05-07 |
| 1639799356 | Harbor Health | Counselor | 3213 S 66th Ave, Phoenix, AZ 85043-1922 | 2020-04-22 |
| 1083247357 | Edward Scott White | Counselor | 2150 E Bell Rd Unit 1042, Phoenix, AZ 85022-2973 | 2020-02-14 |
| 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.