Organization Active NPI

Jesikamckenziebhi LLC

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Tempe, AZ
National Provider Identifier
1235970948
Registry record updated Feb 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X
Legal business name
JESIKAMCKENZIEBHI LLC
Practice address
1805 N Scottsdale Rd Ste 1
Tempe, AZ 85288-1556
Phone
(855) 432-5551
Fax
(855) 432-5559
NPI assigned
Jun 5, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2026

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

Authorized official

Name
Jesika Louana McKenzie, PMHNPNPI 1427634997
Title
Owner
Phone
(602) 550-8795

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
Psychiatric/Mental Health Clinical Nurse SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 364SP0808X Primary

Addresses

Primary practice location

1805 N Scottsdale Rd Ste 1
Tempe, AZ 85288-1556

Mailing address

1805 N Scottsdale Rd Ste 1
Tempe, AZ 85288-1556
Phone (855) 432-5551

Other practice location 1

10142 W Gross Ave
Tolleson, AZ 85353-1204
Phone (855) 432-5551

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250313002451 AZ Part B Supplier - Clinic/Group Practice 8325560840 Receives reassigned benefits from 1 practitioner
Practice locations: Tempe, AZ; Scottsdale, AZ; Tolleson, AZ

National Provider Directory

National Provider Directory

Locations

2222 W Parkside Ln
Ste 114
Phoenix, AZ 85027
Phone (602) 641-8961

1805 N Scottsdale Rd
#1
Tempe, AZ 85288
Phone (855) 432-5551

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": "1717545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771545600000",
    "number": "1235970948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 N SCOTTSDALE RD STE 1",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852881556",
            "telephone_number": "855-432-5551",
            "fax_number": "855-432-5559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 N SCOTTSDALE RD STE 1",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852881556",
            "telephone_number": "855-432-5551",
            "fax_number": "855-432-5559"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10142 W Gross Ave",
            "address_purpose": "LOCATION",
            "city": "Tolleson",
            "state": "AZ",
            "postal_code": "853531204",
            "country_code": "US",
            "telephone_number": "855-432-5551",
            "fax_number": "855-432-5559",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JESIKAMCKENZIEBHI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-05",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A",
        "authorized_official_last_name": "MCKENZIE",
        "authorized_official_first_name": "JESIKA",
        "authorized_official_middle_name": "LOUANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-550-8795",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2026; 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.