Active NPI
Jenis Associates, LLC
- Professional Counselor
- Mesa, AZ
National Provider Identifier
1154447290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC-10886
- 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
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,CMHIMP
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7434358 | Other | AZ | AETNA PROVIDER ID |
| 760718268 | Other | AZ | MAGELLAN PROVIDER ID |
| 896467 | Other | AZ | AHCCCS PROVIDER ID |
Other names 1
- Ribbons Of Life Counseling
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Professional Counselor
- Mesa, AZ
- NPI 1750480257
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.