Individual provider Active NPI

Jennifer L Salazar, LAC

  • Mental Health Counselor
  • Scottsdale, AZ
National Provider Identifier
1184223620
Registry record updated Oct 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LAC-13872 Issued in AZ
Practice address
7730 E Greenway Rd
Scottsdale, AZ 85260-1786
Phone
(480) 774-3040
NPI assigned
Oct 24, 2020
Last updated
Oct 24, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LAC-13872 AZ Primary

Addresses

Primary practice location

7730 E Greenway Rd
Scottsdale, AZ 85260-1786

Mailing address

1930 W Fairmount Ave
Phoenix, AZ 85015-5306
Phone (602) 574-7657

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jul 18, 2024 through Jul 18, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LAC-13872AZMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Brainbody Specialty Services PLLC PastSince Nov 20, 2022 Accepting new patients
Brain-Body Wellness and Biofeedback PastSince Mar 15, 2021 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1603497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603497600000",
    "number": "1184223620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 W FAIRMOUNT AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850155306",
            "telephone_number": "602-574-7657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7730 E GREENWAY RD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852601786",
            "telephone_number": "480-774-3040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALAZAR",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-24",
        "last_updated": "2020-10-24",
        "certification_date": "2020-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LAC-13872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.