Jason Klarer, LAC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

LAC-17384 Issued in AZ

Practice address

2320 W Peoria Ave Ste A101
Phoenix, AZ 85029-4721

Phone

(602) 600-1871

NPI assigned

Aug 16, 2018

Sex

Male

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

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.

• Montana Society Incorporated

  dba The Montana Lodge

  • Substance Abuse Rehabilitation Facility
  • Prescott, AZ
  • NPI 1023385390
  NPD (past)

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

{
    "created_epoch": "1534377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609200000000",
    "number": "1285114413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6534 W PIUTE AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853087060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 W PEORIA AVE STE A101",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850294721",
            "telephone_number": "602-600-1871"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1630 Shoup St",
            "address_purpose": "LOCATION",
            "city": "Prescott",
            "state": "AZ",
            "postal_code": "863051343",
            "country_code": "US",
            "telephone_number": "928-227-2448 x100",
            "fax_number": "928-441-1516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLARER",
        "first_name": "JASON",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-16",
        "last_updated": "2020-12-29",
        "certification_date": "2020-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AZ",
            "license": "LAC-17384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beatrice Lea Kjelland, RN
• KK Mukkavilli PLC
• KKC Southwest, LLC (Home Instead)
• Joseph V Klag, DO
• Kristin N Klamar, PAC
• Kathleen E Klas, P.N.P., R.N.F.A.
• Brianna Klatt, MSW, LGSW
• Nanette M Klaus, LPC
• Amisha Klawonn, PT, DPT, OCS
• Alexandra Leigh Kleber, ARNP

• Counselor in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2020; 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.