MR. JAY RUSSEL MCCOY (NPI# 1992861942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992861942 |
| Entity Type | Individual |
| Full Name | MR. JAY RUSSEL MCCOY |
| Credential | MA LPC |
| Practice Address |
11024 N 28th Drive Suite 200 Phoenix AZ 85029 |
| Practice Telephone | 6027891359 |
| Practice Fax Number | 6028666903 |
| Mailing Telephone | 6027891359 |
| Mailing Fax Number | 6028666903 |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | LPC0241 | AZ | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417244583 | Jay Wyley Mccoy | Pharmacist | 800 E Dawson St, Tyler, TX 75701-2036 | 2011-07-08 |
| 1619207693 | Jay A Mccoy | Pharmacist | 8469 E Mcdonald Dr, Scottsdale, AZ 85250-6335 | 2010-01-13 |
| Street Address |
11024 N 28TH DRIVE SUITE 200 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477153799 | Haydee Bermudez | Counselor | 3301 North 33rd Ave., Phoenix, AZ 85029 | 2020-10-27 |
| 1871191221 | Covenant Home Health LLC | In Home Supportive Care | 11830 N. 19th Ave, Suite 101 Pendleton, Phoenix, AZ 85029 | 2020-10-16 |
| 1508406745 | Tailored 2 U Psychiatry, Pllc | Nurse Practitioner | 4150 W Peoria Avenue, Suite 116, Phoenix, AZ 85029 | 2020-01-15 |
| 1770125403 | Desert Gem Assisted Living Facility, LLC | Custodial Care Facility | 3236 W. Eugie Avenue, Phoenix, AZ 85029 | 2019-10-15 |
| 1588128623 | Anna Debbs | Counselor | 11221 North 28th Drive, Bldg E, Phoenix, AZ 85029 | 2019-01-23 |
| 1609360007 | Melissa Lynn Denton | Specialist/Technologist | 4014 W Paradise Dr, Phoenix, AZ 85029 | 2018-06-19 |
| 1275038713 | Jamilah Amirah | Behavioral Analyst | 11024 N 28th Dr Ste 110, Phoenix, AZ 85029 | 2018-03-27 |
| 1639687056 | Empower Home Care, LLC. | Home Health | 11225 N 28th Drive, Suite D115e, Phoenix, AZ 85029 | 2018-01-19 |
| 1467975698 | Samantha June Collett | Nurse Practitioner | 3201 W Peoria Ave Ste 804, Phoenix, AZ 85029 | 2017-07-19 |
| 1073966347 | Meka Joi Green | Social Worker | 11225 M 28th Dr, Suite C210, Phoenix, AZ 85029 | 2016-07-21 |
| Find all providers in zip 85029 | ||||
| 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 |
|---|---|---|---|---|
| 1891395604 | Helping Handz Counseling Services Outpatient Treatment Center Corp | Counselor | 3930 N 30th Ave, Phoenix, AZ 85017-4607 | 2020-10-30 |
| 1134745367 | Julianne Jordan Holroyd | Counselor | 16012 N 7th Dr, Phoenix, AZ 85023-4436 | 2020-06-23 |
| 1275158719 | Empire Group Homes LLC | Counselor | 1629 W Lacewood Pl, Phoenix, AZ 85045-0814 | 2020-06-10 |
| 1891317392 | Chelsea Savastio | Counselor | 5040 E. Shea Blvd, Ste. 164, Phoenix, AZ 85028-8502 | 2020-05-07 |
| 1740800366 | Premier Innovative Care Services | Counselor | 525 E Camelback Rd, Phoenix, AZ 85012-1615 | 2020-04-23 |
| 1043840028 | Elizabeth Pacheco | Counselor | 3050 W Agua Fria Fwy, Phoenix, AZ 85027-3946 | 2020-01-18 |
| 1518504406 | Jennifer A Day | Counselor | 125 South Avenue, Phoenix, AZ 85003 | 2019-12-10 |
| 1871136945 | Our Home of Unity LLC | Counselor | 8105 W Magnolia St, Phoenix, AZ 85043-5420 | 2019-10-22 |
| 1437791183 | Catherine Amanda Bowser | Counselor | 2701 N 16th St Ste 218, Phoenix, AZ 85006-1265 | 2019-10-15 |
| 1730732777 | Christopher Adam Kraemer | Counselor | 21620 N 19th Ave Ste B6, Phoenix, AZ 85027-2716 | 2019-07-18 |
| 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.