JESSIE DEVERNA (NPI# 1871944322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871944322 |
| Entity Type | Individual |
| Full Name | JESSIE DEVERNA |
| Credential | LAC |
| Practice Address |
450 W Goodwin St Suite 103b Prescott AZ 86303 |
| Practice Telephone | 2699300117 |
| Mailing Telephone | 2699300117 |
| Enumeration Date | 2016-06-27 |
| Last Update Date | 2016-06-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 15976 | AZ | Behavioral Health & Social Service Providers |
| Street Address |
450 W GOODWIN ST SUITE 103B |
| City | PRESCOTT |
| State | AZ |
| Zip Code | 86303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518447598 | Jacqueline Schlosser | Respite Care | 237 S. Washington Ave., Prescott, AZ 86303 | 2018-08-18 |
| 1033699210 | Anna Rachel Seno | Psychologist | 300 S Granite Street, Prescott, AZ 86303 | 2018-08-17 |
| 1154782845 | Walmart | Pharmacy | 1120 N. Opal Dr., Prescott, AZ 86303 | 2016-03-09 |
| 1710377650 | Compass Recovery Center LLC | Clinic/Center | 711 S. Granite St, Prescott, AZ 86303 | 2015-01-30 |
| 1154727527 | Anne Gurley Klever | Pharmacist | 500 Arizona 89, Prescott, AZ 86303 | 2014-11-13 |
| 1295131860 | Kathi Sabot | Registered Nurse | 146 S. Granite Street, Prescott Unified School District, Prescott, AZ 86303 | 2014-11-10 |
| 1457697989 | Kim K. Mcintyre | Counselor | 505 S. Cortez St., Prescott, AZ 86303 | 2013-01-03 |
| 1578885257 | Wesley Carl Kitchens | Counselor | 315 W Goodwin St, Prescott, AZ 86303 | 2010-02-22 |
| 1588805907 | Jacob Lee Bean | Physical Therapist | 6820 El Dorado Dr, Prescott, AZ 86303 | 2009-03-14 |
| 1730330986 | Sulltrop Family Chiropractic PC | Chiropractor | 409 W Goodwin St, Prescott, AZ 86303 | 2008-10-07 |
| Find all providers in zip 86303 | ||||
| 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 |
|---|---|---|---|---|
| 1124639414 | Karissa Bruce | Counselor | 141 S Mccormick St Ste 103, Prescott, AZ 86303-4730 | 2020-08-11 |
| 1205468253 | Honeybee Healing & Counseling Services, LLC | Counselor | 1490 W Gurley St Ste C, Prescott, AZ 86305-2851 | 2020-02-07 |
| 1144784364 | Kathryn Ann Stoecker | Counselor | 141 S Mccormick St Ste 214, Prescott, AZ 86303-4731 | 2019-01-23 |
| 1437659075 | Laura Solorzano | Counselor | 1612 Eagle Point Dr, Prescott, AZ 86301-5487 | 2018-02-20 |
| 1124538236 | Jon Gary Nelson | Counselor | 4992 Cactus Pl, Prescott, AZ 86301-5845 | 2017-10-03 |
| 1053835843 | United States Veterans Initiative | Counselor | 917 E Gurley St, Prescott, AZ 86301 | 2017-08-02 |
| 1912420738 | Sandra Lehmann | Counselor | 3700 Willow Creek Rd Bldg 46, Prescott, AZ 86301-3721 | 2017-07-24 |
| 1194277202 | Tracy Schrunk | Counselor | 1277 N Rhinestone Dr, Prescott, AZ 86301-6802 | 2016-10-25 |
| 1760838502 | Sarah Munigle | Counselor | 141 S Mccormick St Ste 206a, Prescott, AZ 86303-4749 | 2016-05-11 |
| 1104225861 | Debra Nelson | Counselor | 121 Darby Creek Way, Prescott, AZ 86301-4413 | 2014-08-19 |
| Find all providers in PRESCOTT | ||||
Please comment or provide details below to improve the information on JESSIE DEVERNA.
| 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.