Organization Active NPI

Jenis Associates, LLC

  • Professional Counselor
  • Mesa, AZ
National Provider Identifier
1154447290
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-10886 Issued in AZ
Legal business name
JENIS ASSOCIATES, LLC
Practice address
603 N Rosemont Cir
Mesa, AZ 85205-6427
Phone
(480) 775-3528
NPI assigned
Mar 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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

Authorized official

Name
Dawn Renee Beatty-Taylor, MC, LPC, CTNC,CMHIMPNPI 1750480257
Title
Licensed Professional Counselor
Phone
(480) 775-3528

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X LPC-10886 AZ Primary

Addresses

Primary practice location

603 N Rosemont Cir
Mesa, AZ 85205-6427

Mailing address

4111 E Valley Auto Dr
Suite 201
Mesa, AZ 85206-4605
Phone (480) 775-3528

Other identifiers 3

IdentifierTypeStateIssuer
7434358OtherAZAETNA PROVIDER ID
760718268OtherAZMAGELLAN PROVIDER ID
896467OtherAZAHCCCS PROVIDER ID

Other names 1

  • Ribbons Of Life Counseling Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250307001506 AZ Part B Supplier - Clinic/Group Practice 9234650110 Receives reassigned benefits from 1 practitioner
Practice locations: Mesa, AZ

National Provider Directory

National Provider Directory

Locations

4111 E Valley Auto Dr
Ste 201D
Mesa, AZ 85206
Phone (480) 775-3528

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739836800000",
    "number": "1154447290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4111 E VALLEY AUTO DR",
            "address_2": "SUITE 201",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064605",
            "telephone_number": "480-775-3528",
            "fax_number": "480-813-2987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 N ROSEMONT CIR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852056427",
            "telephone_number": "480-775-3528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENIS ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A",
        "authorized_official_last_name": "BEATTY-TAYLOR",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "480-775-3528",
        "authorized_official_credential": "MC, LPC, CTNC,CMHIMP"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-10886",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER ID",
            "identifier": "7434358",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN PROVIDER ID",
            "identifier": "760718268",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS PROVIDER ID",
            "identifier": "896467",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ribbons Of Life Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.