Jennifer Lynne Kissner

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LAC-20440 Issued in AZ

Practice address

7530 E Main St Apt 201
Scottsdale, AZ 85251-4574

Phone

(480) 800-9303

NPI assigned

Oct 10, 2023

Sex

Female

Sole proprietor

Yes

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

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Scottsdale Counseling & Wellness

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Scottsdale, AZ
  • NPI 1578159927
  NPD

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

{
    "created_epoch": "1696896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697500800000",
    "number": "1114708658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "834 E WHITTEN ST",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852256444",
            "telephone_number": "701-721-0474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7530 E MAIN ST APT 201",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852514574",
            "telephone_number": "480-800-9303"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1490 S Price Rd Ste 107",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852866606",
            "country_code": "US",
            "telephone_number": "480-573-0000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KISSNER",
        "first_name": "JENNIFER",
        "middle_name": "LYNNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-10",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LAC-20440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth Mark Kirsner, CRNA
• Tammy Marie Kirton, COTA/L
• Krisztina Kisfalvi, MD
• Patrick Kishi, MD
• Shauna Kisicki, MS, CCC-SLP
• Jeff D Kitchen, P.T.
• Kristi D Kitchen, PTA
• Kristine L Kitchener
• Karen Denise Kitcheyan
• Katherine Kitzenberg

• Mental Health Counselor in Scottsdale, AZ
• Providers in Scottsdale, 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 Oct 17, 2023; 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.