Individual provider Active NPI

Jeniffer Mijares, LPC

  • Mental Health Counselor
  • Goodyear, AZ
National Provider Identifier
1205557584
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC-23571 Issued in AZ
Practice address
13471 W Cornerstone Blvd
Goodyear, AZ 85395-2713
Phone
(877) 809-5092
NPI assigned
Sep 6, 2022
Last updated
Feb 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

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 LPC-23571 AZ Primary

Addresses

Primary practice location

13471 W Cornerstone Blvd
Goodyear, AZ 85395-2713

Mailing address

3033 N Central Ave Ste 145
Phoenix, AZ 85012-2808
Phone (877) 809-5092

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250304002057 AZ Practitioner - Mental Health Counselor 6901327188 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adelante Healthcare, IncGroup PAC ID 4688588643, 132 clinicians

Practice addresses (Care Compare)

13471 W Cornerstone Blvd
Goodyear, AZ 85395-2713
Phone (877) 809-5092

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Adelante Healthcare, Inc. Current Accepting new patients
Adelante Healthcare, Inc CurrentSince Dec 1, 2024 Accepting new patients
Emergent Mental Health Services LLC CurrentSince Jan 12, 2026 Accepting new patients
Adelante Healthcare, Inc. CurrentSince Dec 1, 2024 Accepting new patients

Locations

306 E Monroe Ave
Buckeye, AZ 85326
Phone (623) 386-4814

13471 W Cornerstone Blvd
Goodyear, AZ 85395
Phone (844) 551-6691

1705 W Main St
Mesa, AZ 85201
Phone (480) 845-6769

15525 N 83rd Ave
Ste 104
Peoria, AZ 85382

10240 N 31st Ave
Ste 125
Phoenix, AZ 85051
Phone (623) 810-8515

3033 N Central Ave
Ste 145
Phoenix, AZ 85012

500 W Thomas Rd
Ste 870
Phoenix, AZ 85013
Phone (602) 263-0222

9610 N Metro Pkwy W
Phoenix, AZ 85051
Phone (602) 618-0002

15317 W Bell Rd
Ste 100
Surprise, AZ 85374

15317 W Bell Rd
Ste 106
Surprise, AZ 85374
Phone (623) 544-5190

15351 W Bell Rd
Surprise, AZ 85374

811 N Tegner St
Ste 113
Wickenburg, AZ 85390

Organizations & group practices 4

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": "1662422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1205557584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3033 N CENTRAL AVE STE 145",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122808",
            "telephone_number": "877-809-5092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13471 W CORNERSTONE BLVD",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853952713",
            "telephone_number": "877-809-5092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIJARES",
        "first_name": "JENIFFER",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-06",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LPC-23571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodyear, AZ

Sources for this page

Verify at the official NPI Registry.