Jenice Cosme, LAC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LAC-23395 Issued in AZ

Practice address

10105 E Via Linda Ste 103-7
Scottsdale, AZ 85258-5311

Phone

(480) 679-8743

NPI assigned

Mar 17, 2025

Last updated

Apr 27, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Well Therapy

  • Mental Health Counselor
  • Scottsdale, AZ
  • NPI 1134860182
  NPD

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

{
    "created_epoch": "1742169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745712000000",
    "number": "1225838410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4539 N 22ND ST STE N",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164639",
            "telephone_number": "239-961-5068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10105 E VIA LINDA STE 103-7",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852585311",
            "telephone_number": "480-679-8743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSME",
        "first_name": "JENICE",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-17",
        "last_updated": "2025-04-27",
        "certification_date": "2025-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LAC-23395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lillie Cortes, MC, LPC, CSAT
• Virginia Cortes
• Corwin D Martin (Estetica)
• Christopher Cosentino, M.D.
• Anne-Marie I Cosijns, M.D.
• Keyla Coss Leon, BA, RBT
• Costanoa Health Systems LLC
• Costco Wholesale Corporation (Costco Hearing Aid #427)
• Costco Wholesale Corporation (Costco Optical #427)
• Costco Wholesale Corporation (Costco Pharmacy #427)

• Professional Counselor in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Professional Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2025; 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.