Maxwell V. Jaskolski, LAC.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LAC-20379 Issued in AZ

Practice address

3150 N. Arizona Ave Suite 114
Chandler, AZ 85225

Phone

(480) 459-9994

Fax

(480) 685-8778

NPI assigned

Mar 31, 2022

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1648684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648684800000",
    "number": "1033859608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3150 N. ARIZONA AVE. SUITE 114",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "85225",
            "telephone_number": "480-459-9994",
            "fax_number": "480-685-8778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 N. ARIZONA AVE SUITE 114",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "85225",
            "telephone_number": "480-459-9994",
            "fax_number": "480-685-8778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JASKOLSKI",
        "first_name": "MAXWELL",
        "middle_name": "V.",
        "name_prefix": "Mr.",
        "credential": "LAC.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-31",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LAC-20379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jocelyn Jarman, LMSW
• Toni Vasquez Jaros, SLPA
• Camille Jarvis, B.A
• Sheila Anne Jarvis, PT
• James Jarvise, P.A.-C.
• JC Mental Health Services LLC
• JCK Homehealth
• Kiley Nicolle Jefferson, BCBA
• Jeffrey a Goldstein MD PC
• Michelle L Jeffries, D.O.

• Mental Health Counselor in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Mental Health Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.